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General NPI Number Information
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NPI Number | 1639315518
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Entity Type | Individual
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Provider Name | MARGARET RUTH LAKE ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/26/2008
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 131 JOLLY RIDGE RD
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City | RICHMOND
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State | KY
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Zip | 40475-9748
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Country | US
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Telephone | 859-623-8371
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Fax |
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Provider Business Mailing Address
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Address Line | 1016 W SPRUCE ST UNIT A
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City | RAWLINS
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State | WY
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Zip | 82301-5371
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Country | US
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Telephone | 859-623-8371
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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 | 3005852
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License Number State | KY
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