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General NPI Number Information
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NPI Number | 1427673748
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Entity Type | Individual
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Provider Name | CAROLINE MARCIA FORD APRN
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Gender | Female
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 2400 GREATSTONE PT
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City | LEXINGTON
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State | KY
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Zip | 40504-3274
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Country | US
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Telephone | 859-323-6211
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Fax | 859-323-1315
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Provider Business Mailing Address
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Address Line | 1120 15TH ST # OR6000
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-3813
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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 | 95014524
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License Number State | CA
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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 | RN311106
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3013552
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License Number State | KY
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