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General NPI Number Information
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NPI Number | 1316421472
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Entity Type | Individual
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Provider Name | MARY CATHERINE OECHSLIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 3026 POPLAR LEVEL RD
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City | LOUISVILLE
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State | KY
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Zip | 40217-1301
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Country | US
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Telephone | 502-636-4929
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Fax | 502-394-3629
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Provider Business Mailing Address
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Address Line | PO BOX 776879
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City | CHICAGO
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State | IL
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Zip | 60677-6879
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 28246373A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3013731
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License Number State | KY
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