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General NPI Number Information
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NPI Number | 1467493882
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Entity Type | Individual
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Provider Name | GAYLE DENHAM PHD, PMHNP, BC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 207 E MAIN ST
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City | STANFORD
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State | KY
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Zip | 40484-1339
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Country | US
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Telephone | 606-365-7007
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Fax | 606-365-7001
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Provider Business Mailing Address
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Address Line | 1472 GREASY RIDGE RD
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City | STANFORD
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State | KY
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Zip | 40484-7714
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Country | US
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Telephone | 606-669-1507
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Fax | 606-365-7001
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2829P
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License Number State | KY
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