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General NPI Number Information
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NPI Number | 1609714856
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Entity Type | Individual
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Provider Name | HOLLIE MARIE SHORTRIDGE APRN
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Gender | Female
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Dates
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Enumeration Date | 03/21/2026
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Last Update Date | 03/21/2026
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Provider Practice Location Address
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Address Line | 1700 NICHOLASVILLE RD
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City | LEXINGTON
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State | KY
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Zip | 40503-1463
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Country | US
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Telephone | 859-260-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 441 CHAUCER CT
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City | WINCHESTER
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State | KY
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Zip | 40391-6905
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Country | US
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Telephone | 859-771-1878
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4040921
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License Number State | KY
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