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General NPI Number Information
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NPI Number | 1215733720
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Entity Type | Organization
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Legal Business Name | ENDEAVOR HEALTH, PLLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 110 RIVER DR
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City | IRVINE
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State | KY
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Zip | 40336-1118
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Country | US
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Telephone | 859-893-3112
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Fax | 606-717-1048
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Provider Business Mailing Address
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Address Line | 110 RIVER DR
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City | IRVINE
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State | KY
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Zip | 40336-1118
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Country | US
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Telephone | 606-775-0738
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Fax | 606-717-1048
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA BARNETT
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Credential | APRN, FNP, PMHNP
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Telephone | 859-893-3112
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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