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General NPI Number Information
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NPI Number | 1588319743
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Entity Type | Individual
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Provider Name | CASSAUNDRA HELEN FEE COLLETT FNP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 119 LYNNE DR
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City | BEREA
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State | KY
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Zip | 40403-1267
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Country | US
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Telephone | 606-594-7541
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 910866
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City | LEXINGTON
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State | KY
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Zip | 40591-0866
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Country | US
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Telephone | 859-792-1420
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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 | 3017321
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License Number State | KY
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