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General NPI Number Information
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NPI Number | 1184637357
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Entity Type | Individual
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Provider Name | MICHELLE A REESE ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 1002 SPRING ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3641
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Country | US
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Telephone | 186-638-9272
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Fax | 401-652-9787
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Provider Business Mailing Address
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Address Line | 4203 GRAND CT
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City | CRESTWOOD
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State | KY
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Zip | 40014-9797
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Country | US
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Telephone | 502-641-9428
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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 | 3440P
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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 | 71002155A
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License Number State | IN
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