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General NPI Number Information
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NPI Number | 1447708284
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Entity Type | Individual
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Provider Name | CHRISTINA JUNE KAPFHAMMER
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Gender | Female
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 5929 TIMBER RIDGE DR
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City | PROSPECT
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State | KY
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Zip | 40059-8132
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Country | US
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Telephone | 502-228-2507
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Fax |
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Provider Business Mailing Address
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Address Line | 3039 BRECKENRIDGE LN
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City | LOUISVILLE
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State | KY
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Zip | 40220-2101
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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 | 3010764
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License Number State | KY
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