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General NPI Number Information
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NPI Number | 1518904663
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Entity Type | Individual
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Provider Name | CYNTHIA J RUSSELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 920 DUPONT RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-4692
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Country | US
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Telephone | 502-895-2334
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Fax | 502-896-6987
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Provider Business Mailing Address
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Address Line | 2109 OAKFORD CT
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City | LA GRANGE
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State | KY
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Zip | 40031-7541
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Country | US
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Telephone | 502-225-0709
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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 | 3654P
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License Number State | KY
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