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General NPI Number Information
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NPI Number | 1588514012
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Entity Type | Individual
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Provider Name | LORRAINE MONAE' SMITH APRN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2000 RING RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-9454
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Country | US
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Telephone | 270-506-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 6401 CAMERON LN UNIT 206
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City | CRESTWOOD
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State | KY
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Zip | 40014-7579
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Country | US
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Telephone | 502-931-0309
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4048101
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License Number State | KY
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