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General NPI Number Information
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NPI Number | 1114596095
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Entity Type | Organization
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Legal Business Name | DOLPHIN HILLS FAMILY HEALTHCARE
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 410 N MULBERRY ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1848
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Country | US
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Telephone | 270-268-5036
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Fax |
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Provider Business Mailing Address
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Address Line | 189 S ANTELOPE CT
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City | RINEYVILLE
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State | KY
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Zip | 40162-9696
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Country | US
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Telephone | 270-268-5036
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA ANNE BAUMGARDNER
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Credential | APRN
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Telephone | 270-268-5036
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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 |
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License Number State |
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