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General NPI Number Information
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NPI Number | 1134504087
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Entity Type | Individual
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Provider Name | GRETA COLEMAN BARKER APRN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2015
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Last Update Date | 07/01/2023
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Provider Practice Location Address
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Address Line | 1140 LEXINGTON RD
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City | GEORGETOWN
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State | KY
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Zip | 40324-9330
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Country | US
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Telephone | 502-868-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 370 CLEO AVE
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City | LANCASTER
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State | KY
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Zip | 40444-7203
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Country | US
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Telephone | 859-351-1661
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3009583
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License Number State | KY
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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 | 3009583
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License Number State | KY
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