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General NPI Number Information
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NPI Number | 1295711893
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Entity Type | Individual
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Provider Name | VICKI L VERNON ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 448 SOUTH 3RD ST BOYLE CO HEALTH DEPT
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City | DANVILLE
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State | KY
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Zip | 40422
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Country | US
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Telephone | 859-236-2053
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Fax | 859-236-2863
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Provider Business Mailing Address
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Address Line | PO BOX 398 BOYLE CO HEALTH DEPT
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City | DANVILLE
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State | KY
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Zip | 40423-0398
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Country | US
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Telephone | 859-236-2053
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Fax | 859-236-2863
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | ARNP2847P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN1033544
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License Number State | KY
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