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General NPI Number Information
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NPI Number | 1568442291
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Entity Type | Individual
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Provider Name | MARSHA ELAINE FIELDS ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 3015 WILSON AVE.
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City | LOUISVILLE
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State | KY
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Zip | 40211-1969
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Country | US
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Telephone | 502-774-4401
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Fax | 502-772-4783
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Provider Business Mailing Address
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Address Line | 3015 WILSON AVE. PARK DUVALLE COMMUNITY HEALTH CENTER, INC.
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City | LOUISVILLE
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State | KY
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Zip | 40211-1969
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Country | US
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Telephone | 502-774-4401
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Fax | 502-772-4783
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1064228
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License Number State | KY
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