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General NPI Number Information
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NPI Number | 1245287440
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Entity Type | Individual
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Provider Name | TAMMY A PASKO APRN
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 234 E. GRAY ST. STE. 270
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City | LOUISVILLE
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State | KY
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Zip | 40202-1903
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Country | US
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Telephone | 502-629-8830
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Fax | 502-629-7540
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Provider Business Mailing Address
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Address Line | PO BOX 2469
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City | LOUISVILLE
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State | KY
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Zip | 40201-2469
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Country | US
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Telephone | 502-852-8500
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Fax | 502-852-8556
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3003691
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License Number State | KY
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