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General NPI Number Information
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NPI Number | 1366697393
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Entity Type | Individual
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Provider Name | SHEENA BOURY M.D
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Gender | Female
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1717 DIXIE HWY STE 970
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City | FT WRIGHT
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State | KY
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Zip | 41011-2791
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Country | US
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Telephone | 859-320-9300
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Fax | 859-320-9301
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Provider Business Mailing Address
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Address Line | 1717 DIXIE HWY STE 970
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City | FT WRIGHT
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State | KY
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Zip | 41011-2791
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Country | US
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Telephone | 859-320-9300
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Fax | 859-320-9301
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 44550
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License Number State | KY
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