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General NPI Number Information
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NPI Number | 1346624863
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Entity Type | Individual
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Provider Name | LIANE MARIE GARRETT FNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 2885 ALEXANDRIA WAY
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-1511
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Country | US
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Telephone | 859-757-0434
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Fax | 859-441-0906
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Provider Business Mailing Address
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Address Line | 2300 CHAMBER CENTER DR SUITE 200
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City | LAKESIDE PARK
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State | KY
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Zip | 41017-1686
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Country | US
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Telephone | 859-757-0434
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Fax | 859-441-0906
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28190717A
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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 | 3009647
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License Number State | KY
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