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General NPI Number Information
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NPI Number | 1366847485
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Entity Type | Individual
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Provider Name | CHERYL BETH CONWAY APRN
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Gender | Female
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Dates
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Enumeration Date | 10/31/2014
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 120 PROGRESS WAY
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City | OWENTON
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State | KY
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Zip | 40359-6032
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Country | US
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Telephone | 844-655-6100
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Fax | 502-484-2102
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Provider Business Mailing Address
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Address Line | 1401 MADISON AVE
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City | COVINGTON
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State | KY
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Zip | 41011-3313
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Country | US
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Telephone | 859-655-6100
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Fax | 859-655-6148
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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 | 71005364A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3009028
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License Number State | KY
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