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General NPI Number Information
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NPI Number | 1114013083
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Entity Type | Individual
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Provider Name | BRENDA KAY PAINTER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 8163 W STATE ROAD 56 STE A
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City | WEST BADEN SPRINGS
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State | IN
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Zip | 47469-7706
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Country | US
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Telephone | 812-723-7125
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Fax | 812-936-2599
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Provider Business Mailing Address
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Address Line | 8695 W JACK CARNES WAY
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City | FRENCH LICK
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State | IN
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Zip | 47432-1302
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Country | US
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Telephone | 812-936-3900
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Fax | 812-936-3904
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 71001773A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71001773A
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License Number State | IN
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