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General NPI Number Information
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NPI Number | 1023996485
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Entity Type | Individual
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Provider Name | LATONYA SHAY MCNEAL
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 927 S 3RD ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2215
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Country | US
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Telephone | 502-830-7367
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Fax |
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Provider Business Mailing Address
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Address Line | 901 SOUTHWESTERN PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40211-2743
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Country | US
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Telephone | 502-356-9546
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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