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General NPI Number Information
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NPI Number | 1487035069
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Entity Type | Individual
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Provider Name | HAYLEY LIU APRN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2015
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 5129 DIXIE HWY STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40216-1727
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Country | US
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Telephone | 502-447-3338
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Fax | 502-595-7007
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Provider Business Mailing Address
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Address Line | 100 EAST LIBERTY SUITE 800
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City | LOUISVILLE
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State | KY
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Zip | 40202-1438
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Country | US
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Telephone | 502-540-3339
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Fax | 502-479-1425
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3009423
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License Number State | KY
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