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General NPI Number Information
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NPI Number | 1518742907
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Entity Type | Individual
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Provider Name | BRITTANY SPARKS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-257-1000
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Fax | 859-257-1342
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Provider Business Mailing Address
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Address Line | 473 AMBERLEY DR
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City | LEXINGTON
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State | KY
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Zip | 40515-4775
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Country | US
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Telephone | 606-275-0048
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4009491
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License Number State | KY
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