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General NPI Number Information
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NPI Number | 1568017002
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Entity Type | Individual
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Provider Name | KELSEY L TRUEBLOOD NP
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1995 EDSEL LN NW
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City | CORYDON
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State | IN
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Zip | 47112-3008
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Country | US
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Telephone | 812-738-4251
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Fax | 812-738-7833
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Provider Business Mailing Address
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Address Line | PO BOX 270
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City | PAOLI
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State | IN
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Zip | 47454-0270
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Country | US
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Telephone | 812-723-3944
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Fax | 812-723-7989
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71009289A
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License Number State | IN
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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 | 71009289A
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License Number State | IN
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