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NPI 1508354689

NPI 1508354689 : JAMES MICHAEL WARD IV ARNP : DRY RIDGE, KY

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General NPI Number Information
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    NPI Number           |    1508354689
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES MICHAEL WARD IV ARNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/25/2018
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    Last Update Date     |    08/04/2025
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Provider Practice Location Address
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    Address Line         |    38 BROADWAY ST 
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    City                 |    DRY RIDGE
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    State                |    KY
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    Zip                  |    41035-9762
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    Country              |    US
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    Telephone            |    859-300-0694
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1064 STATE ROUTE 28 STE F 
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    City                 |    MILFORD
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    State                |    OH
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    Zip                  |    45150-4940
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    Country              |    US
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    Telephone            |    513-981-4050
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    Fax                  |    513-322-4859
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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       |    020871
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    3011319
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    License Number State |    KY
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