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General NPI Number Information
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NPI Number | 1770262032
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Entity Type | Individual
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Provider Name | ALEXANDRIA JANINE BASSLER APRN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 3 AUDUBON PLAZA DR STE 560
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City | LOUISVILLE
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State | KY
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Zip | 40217-1376
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Country | US
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Telephone | 502-636-8004
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Fax |
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Provider Business Mailing Address
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Address Line | 11713 SARATOGA WOODS CT
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City | LOUISVILLE
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State | KY
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Zip | 40299-4366
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Country | US
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Telephone | 502-440-7845
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4006672
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License Number State | KY
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