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General NPI Number Information
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NPI Number | 1447892278
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Entity Type | Individual
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Provider Name | WHITLEY HOCKENSMITH
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Gender | Female
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 3115 OLLIE RIDGE RD
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City | MAMMOTH CAVE
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State | KY
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Zip | 42259-7983
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Country | US
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Telephone | 270-286-1015
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Fax |
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Provider Business Mailing Address
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Address Line | 12221 CUB RUN HWY
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City | CUB RUN
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State | KY
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Zip | 42729-8105
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Country | US
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Telephone | 270-528-6740
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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 | 355662
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License Number State | NY
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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 | 3014071
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License Number State | KY
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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 | AP61205109
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024184555
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License Number State | VA
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