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General NPI Number Information
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NPI Number | 1700110103
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Entity Type | Individual
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Provider Name | KATHLEEN FARRELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 1005 POPLAR ST
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City | MURRAY
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State | KY
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Zip | 42071-2436
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Country | US
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Telephone | 270-759-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 CROSSLAND RD
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City | MURRAY
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State | KY
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Zip | 42071-7010
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Country | US
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Telephone | 270-809-6661
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Fax | 270-809-6662
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2712P
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License Number State | KY
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