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General NPI Number Information
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NPI Number | 1063331908
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Entity Type | Individual
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Provider Name | ANNE ILUNGA NOMBE RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1740 NICHOLASVILLE RD
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City | LEXINGTON
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State | KY
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Zip | 40503-1431
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Country | US
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Telephone | 185-926-0610
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Fax |
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Provider Business Mailing Address
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Address Line | 3812 WADING CREEK TRL
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City | LEXINGTON
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State | KY
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Zip | 40509-8720
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Country | US
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Telephone | 859-221-8008
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1181496
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License Number State | KY
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