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General NPI Number Information
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NPI Number | 1043555691
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Entity Type | Individual
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Provider Name | SHARON MARIE NOLAN DICKMAN NP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 3130 MAPLELEAF DR STE 170
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City | LEXINGTON
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State | KY
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Zip | 40509-1308
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Country | US
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Telephone | 800-999-1249
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Fax |
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Provider Business Mailing Address
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Address Line | 9800 SHELBYVILLE RD STE 220
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City | LOUISVILLE
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State | KY
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Zip | 40223-2992
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Country | US
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Telephone | 800-999-1249
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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 | 3008267
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3008267
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License Number State | KY
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