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General NPI Number Information
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NPI Number | 1356895916
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Entity Type | Individual
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Provider Name | JASON W DUNN APRN
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Gender | Male
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 2608 RING RD STE B107
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-506-3741
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Fax | 270-506-3768
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Provider Business Mailing Address
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Address Line | PO BOX 1080
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City | BURKESVILLE
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State | KY
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Zip | 42717-1080
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Country | US
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Telephone | 270-858-6655
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Fax | 270-858-4607
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3010523
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License Number State | KY
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