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General NPI Number Information
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NPI Number | 1720544232
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Entity Type | Individual
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Provider Name | COREY SALYER
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Gender | Male
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DRIVE
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City | EDGEWOOD
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State | KY
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Zip | 41017-3403
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Country | US
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Telephone | 859-301-5652
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Fax |
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Provider Business Mailing Address
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Address Line | 181 FAIRFIELD AVE
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City | NEWARK
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State | OH
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Zip | 43055-4627
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Country | US
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Telephone | 740-814-3955
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRNCNP024295
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.024295
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4035700
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License Number State | KY
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