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General NPI Number Information
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NPI Number | 1295070571
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Entity Type | Individual
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Provider Name | ERICA A BAZZELL APRN
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Gender | Female
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1313 JOHNSON BLVD
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City | MURRAY
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State | KY
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Zip | 42071-2925
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Country | US
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Telephone | 270-917-1401
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Fax | 270-957-8811
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Provider Business Mailing Address
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Address Line | 1313 JOHNSON BLVD
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City | MURRAY
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State | KY
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Zip | 42071-2925
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Country | US
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Telephone | 270-917-1401
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Fax | 270-957-8811
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3007670
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License Number State | KY
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