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General NPI Number Information
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NPI Number | 1376091223
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Entity Type | Individual
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Provider Name | JOSHUA B ALLEN APRN
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Gender | Male
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 320 W 18TH ST
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-1965
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Country | US
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Telephone | 629-203-7320
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Fax |
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Provider Business Mailing Address
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Address Line | 375 WILLIAM LILE RD
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City | CROFTON
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State | KY
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Zip | 42217-8128
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Country | US
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Telephone |
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Fax |
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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 | 3010741
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 3010741
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License Number State | KY
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