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General NPI Number Information
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NPI Number | 1245901495
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Entity Type | Organization
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Legal Business Name | THE NPFACTORY AND JANEL WILLINGHAM LLC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 3103 BRECKENRIDGE LN STE 2
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City | LOUISVILLE
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State | KY
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Zip | 40220-2798
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Country | US
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Telephone | 502-384-7053
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Fax |
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Provider Business Mailing Address
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Address Line | 3103 BRECKENRIDGE LN STE 2
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City | LOUISVILLE
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State | KY
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Zip | 40220-2798
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Country | US
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Telephone | 502-384-7053
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Fax |
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Authorized Official
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Title or Position | CEO/ NURSE PRACITITONER
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Name | DR. JANEL JENE WILLINGHAM
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Credential | DNP
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Telephone | 502-802-0692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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