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General NPI Number Information
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NPI Number | 1083603484
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Entity Type | Individual
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Provider Name | DEBRA J ANSINELLI ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 2483 HIGHWAY 644 SUITE 103
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City | LOUISA
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State | KY
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Zip | 41230-9242
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Country | US
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Telephone | 606-638-9954
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Fax | 606-638-3595
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Provider Business Mailing Address
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Address Line | PO BOX 2380
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City | ASHLAND
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State | KY
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Zip | 41105-2380
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Country | US
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Telephone | 606-324-4745
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Fax | 606-326-0165
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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 | 4245P
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License Number State | KY
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