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General NPI Number Information
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NPI Number | 1134471113
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Entity Type | Individual
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Provider Name | CARI B WILDHARBER APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 6321 KENTUCKY DAM RD
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City | PADUCAH
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State | KY
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Zip | 42003-9471
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Country | US
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Telephone | 270-898-2444
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Fax | 270-898-4753
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Provider Business Mailing Address
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Address Line | 2769 W PARK DR
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City | PADUCAH
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State | KY
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Zip | 42001-9058
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Country | US
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Telephone | 270-215-7474
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3007733
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License Number State | KY
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