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General NPI Number Information
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NPI Number | 1215887260
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Entity Type | Individual
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Provider Name | HENRY PAPISU GBAYEE SR. LPN
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Gender | Male
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 3333 BARDSTOWN RD STE 13
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City | LOUISVILLE
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State | KY
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Zip | 40218-4613
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Country | US
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Telephone | 502-759-8868
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Fax |
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Provider Business Mailing Address
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Address Line | 4115 SUNFLOWER AVE
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City | LOUISVILLE
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State | KY
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Zip | 40216-3055
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Country | US
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Telephone | 502-759-8868
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 4010874
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License Number State | KY
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