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NPI 1497790158

NPI 1497790158 : APRIL L NALLE : SOMERSET, KY

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General NPI Number Information
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    NPI Number           |    1497790158
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    Entity Type          |    Organization 
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    Legal Business Name  |    APRIL L NALLE 
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Dates
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    Enumeration Date     |    06/18/2006
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    Last Update Date     |    03/15/2011
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Provider Practice Location Address
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    Address Line         |    705 CORRELL STREET 
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    City                 |    SOMERSET
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    State                |    KY
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    Zip                  |    42503
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    Country              |    US
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    Telephone            |    606-678-0033
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    Fax                  |    606-678-0056
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3668 
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    City                 |    WEST SOMERSET
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    State                |    KY
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    Zip                  |    42564
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    Country              |    US
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    Telephone            |    606-678-0033
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    Fax                  |    606-678-0056
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Authorized Official
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    Title or Position    |    OWNER/OPERATOR
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    Name                 |    MRS. APRIL LYNN NALLE 
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    Credential           |    CFM
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    Telephone            |    606-678-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    KY
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