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General NPI Number Information
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NPI Number | 1467833343
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Entity Type | Individual
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Provider Name | FAITH OZETTA HOLT APRN
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Gender | Female
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 202 W 7TH ST STE 201
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City | LONDON
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State | KY
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Zip | 40741-1763
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Country | US
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Telephone | 606-330-0050
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Fax | 606-330-0029
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Provider Business Mailing Address
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Address Line | 485 MEMORIAL DR
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City | MANCHESTER
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State | KY
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Zip | 40962-9111
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Country | US
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Telephone | 606-598-0321
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Fax | 606-598-0341
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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 | 3009455
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License Number State | KY
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