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General NPI Number Information
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NPI Number | 1083261937
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Entity Type | Individual
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Provider Name | LOLA A MEADORS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/23/2019
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 706 MAYNOR ST
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City | CORBIN
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State | KY
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Zip | 40701-1777
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Country | US
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Telephone | 606-261-2032
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Fax | 800-880-2213
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Provider Business Mailing Address
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Address Line | 706 MAYNOR ST
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City | CORBIN
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State | KY
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Zip | 40701-1777
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Country | US
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Telephone | 606-261-2032
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Fax | 800-880-2213
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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 | 3012317
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License Number State | KY
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