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General NPI Number Information
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NPI Number | 1588637961
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Entity Type | Individual
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Provider Name | GINGER RENEE COMBS ARNP RN
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 55 THANNOLI DR
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City | SOMERSET
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State | KY
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Zip | 42503
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Country | US
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Telephone | 606-677-0854
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Fax | 606-677-9311
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Provider Business Mailing Address
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Address Line | 55 THANNOLI DR
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City | SOMERSET
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State | KY
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Zip | 42503
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Country | US
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Telephone | 606-677-0854
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Fax | 606-677-9311
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 1063460
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4692P
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License Number State | KY
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