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General NPI Number Information
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NPI Number | 1447109657
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE CLINIC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 9204 TAYLORSVILLE RD STE 206
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City | LOUISVILLE
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State | KY
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Zip | 40299-1789
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Country | US
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Telephone | 407-580-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 9204 TAYLORSVILLE RD STE 206
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City | LOUISVILLE
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State | KY
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Zip | 40299-1789
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Country | US
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Telephone | 407-580-5051
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LILIAN NAMAYI
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Credential | DNP
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Telephone | 407-580-5051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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