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General NPI Number Information
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NPI Number | 1780157057
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Entity Type | Individual
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Provider Name | TAMMY JOHNSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 4822 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40213-2226
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Country | US
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Telephone | 502-969-2227
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Fax |
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Provider Business Mailing Address
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Address Line | 1553 HIGHWAY 44 E
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City | SHEPHERDSVILLE
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State | KY
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Zip | 40165-7183
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Country | US
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Telephone | 502-543-2433
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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 | 3013055
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License Number State | KY
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