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General NPI Number Information
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NPI Number | 1508001363
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Entity Type | Individual
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Provider Name | PAULA B CORDOVA APRN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 1230 WOODLAND DR STE 207
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2792
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Country | US
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Telephone | 270-600-7001
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Fax | 270-600-7002
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Provider Business Mailing Address
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Address Line | 4321 S DIXIE HWY
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City | HORSE CAVE
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State | KY
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Zip | 42749-1482
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Country | US
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Telephone | 270-834-0682
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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 | 3005687
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3005687
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License Number State | KY
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