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General NPI Number Information
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NPI Number | 1356689103
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Entity Type | Individual
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Provider Name | MIKI L FERGUSON APRN
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Gender | Female
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 4955 NORTON HEALTHCARE BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40241-2832
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Country | US
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Telephone | 502-394-6350
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Fax | 502-394-6363
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Provider Business Mailing Address
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Address Line | PO BOX 776347
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City | CHICAGO
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State | IL
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Zip | 60677-6347
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Country | US
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Telephone | 502-272-5052
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Fax | 502-629-6217
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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 | 3007704
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License Number State | KY
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