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General NPI Number Information
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NPI Number | 1184320236
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Entity Type | Organization
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Legal Business Name | ENVUE HEALTH INC
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Dates
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Enumeration Date | 01/31/2023
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 10300 BROOKRIDGE VILLAGE BLVD STE 203
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City | LOUISVILLE
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State | KY
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Zip | 40291-4474
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Country | US
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Telephone | 502-600-1704
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Fax | 844-464-0789
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Provider Business Mailing Address
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Address Line | 10300 BROOKRIDGE VILLAGE BLVD STE 203
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City | LOUISVILLE
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State | KY
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Zip | 40291-4474
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Country | US
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Telephone | 502-600-1704
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Fax | 844-464-0789
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Authorized Official
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Title or Position | OWNER
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Name | LECRESHA SEWELL
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Credential | DNP
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Telephone | 270-769-5963
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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