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General NPI Number Information
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NPI Number | 1639536972
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Entity Type | Individual
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Provider Name | HOLLY RENEA CHITWOOD APRN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2016
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 800 ROSE ST WHITNEY HENDRICKSON STE 134
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City | LEXINGTON
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State | KY
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Zip | 40536-0093
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Country | US
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Telephone | 859-323-2650
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Fax | 859-323-0702
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Provider Business Mailing Address
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Address Line | 800 ROSE ST WHITNEY HENDRICKSON STE 134
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-323-2650
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Fax | 859-323-0702
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3010014
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010014
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 3010014
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3010014
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License Number State | KY
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