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NPI 1649319518

NPI 1649319518 : LILLIAN E GIERHART ARNP : CADIZ, KY

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General NPI Number Information
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    NPI Number           |    1649319518
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    Entity Type          |    Individual 
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    Provider Name        |    LILLIAN E GIERHART ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    08/22/2014
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Provider Practice Location Address
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    Address Line         |    250 MAIN ST 
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    City                 |    CADIZ
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    State                |    KY
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    Zip                  |    42211-9153
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    Country              |    US
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    Telephone            |    270-522-3444
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    Fax                  |    270-522-3425
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1724 
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    City                 |    CADIZ
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    State                |    KY
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    Zip                  |    42211-1724
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    Country              |    US
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    Telephone            |    270-522-3444
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    Fax                  |    270-522-3425
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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       |    3005111
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    License Number State |    KY
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