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General NPI Number Information
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NPI Number | 1730197872
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Entity Type | Individual
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Provider Name | PAMELA K. BLACKBURN-NOBLE LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1000 E LEXINGTON AVE STE. 27
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City | DANVILLE
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State | KY
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Zip | 40422-9042
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Country | US
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Telephone | 859-967-8172
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Fax | 859-885-5327
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Provider Business Mailing Address
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Address Line | PO BOX 918
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City | NICHOLASVILLE
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State | KY
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Zip | 40340-0918
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Country | US
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Telephone | 859-967-8172
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Fax | 859-885-5327
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 1821
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License Number State | KY
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