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General NPI Number Information
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NPI Number | 1649955519
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Entity Type | Organization
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Legal Business Name | ABUNDANT HEALTH FAMILY CARE
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 2300 HURSTBOURNE VILLAGE DR STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40299-1837
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Country | US
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Telephone | 502-384-0931
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Fax | 502-384-0485
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Provider Business Mailing Address
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Address Line | 2300 HURSTBOURNE VILLAGE DR STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40299-1837
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Country | US
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Telephone | 502-384-0931
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Fax | 502-384-0485
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Authorized Official
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Title or Position | APRN/OWNER
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Name | BRITTANY E YOUNG
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Credential | APRN FNP
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Telephone | 502-384-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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