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General NPI Number Information
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NPI Number | 1598094013
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Entity Type | Individual
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Provider Name | AMI ELIZABETH BOSTIC ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 828 LANE ALLEN RD STE 219
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City | LEXINGTON
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State | KY
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Zip | 40504
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Country | US
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Telephone | 502-498-4071
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Fax | 888-423-5216
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Provider Business Mailing Address
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Address Line | PO BOX 3299
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City | CARSON CITY
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State | NV
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Zip | 89702-3299
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Country | US
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Telephone | 775-222-0044
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Fax | 888-700-0187
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1101249
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3006102
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License Number State | KY
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