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General NPI Number Information
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NPI Number | 1497393011
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Entity Type | Individual
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Provider Name | KATHERINE ROSE ASH JOHNS APRN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2019
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 912 LILY CREEK RD STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40243-2815
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Country | US
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Telephone | 502-822-3659
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Fax | 502-709-4637
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Provider Business Mailing Address
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Address Line | 17107 GREEN CREST LN
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City | LOUISVILLE
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State | KY
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Zip | 40245-3216
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Country | US
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Telephone | 502-751-5035
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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 | 3013849
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License Number State | KY
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