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General NPI Number Information
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NPI Number | 1033507561
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Entity Type | Individual
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Provider Name | SARAH RUTH PEYTON FNP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1851 N MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-9024
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Country | US
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Telephone | 270-825-7268
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Fax | 270-825-6615
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Provider Business Mailing Address
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Address Line | PO BOX 950248
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City | LOUISVILLE
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State | KY
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Zip | 40295-0248
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Country | US
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Telephone | 502-253-4900
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Fax | 502-489-5750
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3009092
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License Number State | KY
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