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General NPI Number Information
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NPI Number | 1386739464
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Entity Type | Individual
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Provider Name | TAMBERLY L MCCOY M.D.,PLLC
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 2816 VEACH RD STE 308
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City | OWENSBORO
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State | KY
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Zip | 42303-6297
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Country | US
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Telephone | 270-926-1150
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Fax | 270-926-2796
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Provider Business Mailing Address
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Address Line | 2816 VEACH RD STE 308
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City | OWENSBORO
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State | KY
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Zip | 42303-6297
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Country | US
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Telephone | 270-926-1190
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Fax | 270-926-2796
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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 | 34958
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License Number State | KY
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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 | 3011631
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License Number State | KY
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