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General NPI Number Information
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NPI Number | 1023101995
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Entity Type | Individual
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Provider Name | PATRICIA A KOLLER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1200 BRECKENRIDGE ST
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City | OWENSBORO
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State | KY
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Zip | 42303-1089
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Country | US
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Telephone | 270-685-8230
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Fax | 270-685-8233
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Provider Business Mailing Address
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Address Line | 1200 BRECKENRIDGE ST
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City | OWENSBORO
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State | KY
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Zip | 42303-1089
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Country | US
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Telephone | 270-685-8230
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Fax | 270-685-8233
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71005879A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3004717
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License Number State | KY
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