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General NPI Number Information
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NPI Number | 1740598507
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Entity Type | Individual
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Provider Name | TRACEY LYNN BRENNENSTUHL RN
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Gender | Female
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 231 E CHESTNUT ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-1821
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Country | US
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Telephone | 502-588-0982
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-588-0329
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Fax | 502-588-0326
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 126171
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 363594
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 006114
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 3006556
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License Number State | KY
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