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General NPI Number Information
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NPI Number | 1629748868
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Entity Type | Individual
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Provider Name | OLIVIA ANN DRESEL APRN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2021
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 231 MIDLAND PARK STE 201
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City | SHELBYVILLE
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State | KY
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Zip | 40065-9735
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Country | US
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Telephone | 502-257-8820
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Fax |
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Provider Business Mailing Address
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Address Line | 11821 BEACON CT
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City | LOUISVILLE
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State | KY
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Zip | 40299-6074
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Country | US
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Telephone | 502-475-7660
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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 | 3016059
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License Number State | KY
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