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General NPI Number Information
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NPI Number | 1770813487
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Entity Type | Individual
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Provider Name | PAULA JEAN HOGSTEN ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 10/07/2010
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Provider Practice Location Address
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Address Line | 432 - 16TH STREET SUITE B- TRI STATE NEPHROLOGY
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-329-9335
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Fax | 606-324-6383
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Provider Business Mailing Address
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Address Line | PO BOX 2468 432 - 16TH STREET SUITE B
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City | ASHLAND
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State | KY
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Zip | 41101
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Country | US
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Telephone | 606-329-9335
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Fax | 606-324-6383
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 1906S
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License Number State | KY
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