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NPI 1649471459

NPI 1649471459 : BRENDA G. PARRISH LPN : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1649471459
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    Entity Type          |    Individual 
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    Provider Name        |    BRENDA G. PARRISH LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/30/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    2048 REGENCY RD. 
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40504
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    Country              |    US
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    Telephone            |    859-278-2053
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4491 US HWY. 62 WEST BROADWELL FARMS
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    City                 |    CYNTHIANA
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    State                |    KY
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    Zip                  |    41031
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    Country              |    US
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    Telephone            |    859-235-8767
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    Fax                  |    859-235-8767
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    164W00000X
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    License Number State |    KY
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