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General NPI Number Information
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NPI Number | 1316979404
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Entity Type | Individual
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Provider Name | DONNA C HANKLA ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 107 METKER TRL SUITE A
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City | STANFORD
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State | KY
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Zip | 40484-1049
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Country | US
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Telephone | 606-365-8338
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Fax | 696-365-8142
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Provider Business Mailing Address
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Address Line | 107 METKER TRL SUITE A
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City | STANFORD
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State | KY
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Zip | 40484-1049
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Country | US
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Telephone | 606-365-8338
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Fax | 696-365-8142
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 1805P
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License Number State | KY
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