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General NPI Number Information
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NPI Number | 1720036429
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Entity Type | Organization
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Legal Business Name | ANNANDLEE, PLLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 118 PATRIOT DRIVE SUITE 102
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City | BARDSTOWN
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State | KY
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Zip | 40004
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Country | US
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Telephone | 502-350-1022
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Fax | 502-350-1023
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Provider Business Mailing Address
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Address Line | 118 PATRIOT DRIVE SUITE 102
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City | BARDSTOWN
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State | KY
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Zip | 40004
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Country | US
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Telephone | 502-350-1022
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Fax | 502-350-1023
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | CHARLES W PARRISH
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Credential | MD
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Telephone | 502-350-1022
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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