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General NPI Number Information
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NPI Number | 1033799978
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Entity Type | Individual
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Provider Name | JOSEPH ERIC DESKINS JR. APRN
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Gender | Male
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 800 ROSE ST WHITNEY HENDRICKSON BLDG STE 134
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City | LEXINGTON
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State | KY
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Zip | 40536-1814
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Country | US
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Telephone | 859-323-2650
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Fax | 859-323-0702
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Provider Business Mailing Address
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Address Line | 465 STRATFORD DR
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City | LEXINGTON
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State | KY
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Zip | 40503-1814
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Country | US
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Telephone | 859-333-6981
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3015432
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3015432
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License Number State | KY
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