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General NPI Number Information
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NPI Number | 1083402937
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Entity Type | Individual
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Provider Name | ADRIENNE MARIE BASCO NP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 100 MEDICAL CENTER DR
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City | PRINCETON
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State | KY
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Zip | 42445-2430
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Country | US
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Telephone | 270-365-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 419 AMON LISANBY RD
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City | DAWSON SPRINGS
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State | KY
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Zip | 42408-7901
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Country | US
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Telephone | 931-551-1208
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4005979
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4005979
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License Number State | KY
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