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General NPI Number Information
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NPI Number | 1083939425
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Entity Type | Individual
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Provider Name | MARILYN LOUISE RHOADS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 615 WASHINGTON STREET MERCY CLINIC
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City | SHELBYVILLE
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State | KY
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Zip | 40065
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Country | US
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Telephone | 502-647-4668
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Fax | 502-647-4615
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Provider Business Mailing Address
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Address Line | 322 LINKS DRIVE
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City | SIMPSONVILLE
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State | KY
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Zip | 40067-6571
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Country | US
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Telephone | 502-410-1357
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 1048667
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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 | 2093P
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License Number State | KY
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