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General NPI Number Information
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NPI Number | 1144130238
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Entity Type | Individual
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Provider Name | PALMER JAMES WARD
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Gender | Male
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 200 BEVINS LN STE A
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City | GEORGETOWN
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State | KY
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Zip | 40324-8532
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Country | US
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Telephone | 502-863-0722
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Fax | 502-863-0731
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Provider Business Mailing Address
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Address Line | 138 ANNE JENNINGS WAY
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City | GEORGETOWN
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State | KY
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Zip | 40324-6160
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Country | US
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Telephone |
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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 | 4063067
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License Number State | KY
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