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General NPI Number Information
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NPI Number | 1700420932
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Entity Type | Individual
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Provider Name | AMY BENTLEY
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Gender | Female
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 5000 KY-321
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City | PRESTONSBURG
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State | KY
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Zip | 41653
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Country | US
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Telephone | 606-886-8511
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53
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City | BLUE RIVER
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State | KY
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Zip | 41607-0053
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Country | US
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Telephone | 606-791-6384
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3013439
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License Number State | KY
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