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General NPI Number Information
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NPI Number | 1780863167
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Entity Type | Individual
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Provider Name | AMY MICHELLE MOREHEAD APRN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 515 HOSPITAL DR SUITE 1
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City | SHELBYVILLE
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State | KY
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Zip | 40065-1640
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Country | US
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Telephone | 502-633-3525
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Fax | 502-633-8075
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Provider Business Mailing Address
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Address Line | 100 E LIBERTY ST SUITE 800
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City | LOUISVILLE
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State | KY
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Zip | 40202-1434
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Country | US
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Telephone | 502-633-3525
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Fax | 502-633-8075
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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 | 3005380
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License Number State | KY
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