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General NPI Number Information
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NPI Number | 1396348470
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Entity Type | Individual
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Provider Name | DAKOTA RENEE HANGARTNER APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 1800 OLD BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1168
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Country | US
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Telephone | 502-361-2301
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 OLD BLUEGRASS AVE
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City | LOUISVILLE
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State | KY
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Zip | 40215-1168
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Country | US
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Telephone | 502-303-5293
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | F09200507
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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 | 3015189
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License Number State | KY
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