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General NPI Number Information
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NPI Number | 1487652434
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Entity Type | Individual
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Provider Name | MS. DOROTHY SHEILA WARD
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Gender | Female
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 3991 DUTCHMANS LN STE 108
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City | LOUISVILLE
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State | KY
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Zip | 40207-4700
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Country | US
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Telephone | 502-899-6220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 839P
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 839 P
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 839 M
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License Number State | KY
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