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General NPI Number Information
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NPI Number | 1194128462
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Entity Type | Individual
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Provider Name | ELIZABETH IVY WRIGHT APRN
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Gender | Female
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 3576 PIMLICO PKWY
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City | LEXINGTON
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State | KY
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Zip | 40517-3700
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Country | US
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Telephone | 859-272-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 5661 US HIGHWAY 62 W
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City | CYNTHIANA
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State | KY
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Zip | 41031-8046
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Country | US
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Telephone | 859-492-2191
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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 | 3008993
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License Number State | KY
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