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General NPI Number Information
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NPI Number | 1013930759
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Entity Type | Individual
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Provider Name | TRACI JO WESTERFIELD MD
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Gender | Female
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1300 E 9TH ST
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City | OWENSBORO
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State | KY
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Zip | 42303-0337
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Country | US
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Telephone | 859-421-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 E 9TH ST
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City | OWENSBORO
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State | KY
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Zip | 42303-0337
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Country | US
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Telephone | 270-297-7332
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 33224
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 33224
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License Number State | KY
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