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General NPI Number Information
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NPI Number | 1508857111
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Entity Type | Individual
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Provider Name | MAUREEN ELIZABETH HILSENRAD APRN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 1170 E BROADWAY SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40204-1744
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Country | US
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Telephone | 502-583-4700
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Fax | 502-583-8434
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Provider Business Mailing Address
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Address Line | PO BOX 43905
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City | LOUISVILLE
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State | KY
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Zip | 40253-0905
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Country | US
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Telephone | 502-538-4700
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Fax | 502-583-8434
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3246P
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License Number State | KY
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