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General NPI Number Information
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NPI Number | 1326307018
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Entity Type | Individual
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Provider Name | DIANE M KILBRIDE APRN
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Gender | Female
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Dates
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Enumeration Date | 05/15/2012
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Last Update Date | 12/19/2012
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Provider Practice Location Address
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Address Line | 3900 KRESGE WAY SUITE 40
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City | LOUISVILLE
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State | KY
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Zip | 40207-4660
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Country | US
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Telephone | 502-897-7172
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Fax | 812-282-4172
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Provider Business Mailing Address
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Address Line | 101 HOSPITAL BLVD
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130
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Country | US
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Telephone | 812-282-3899
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Fax | 812-282-4172
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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 | 71004179A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3007416
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License Number State | KY
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