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General NPI Number Information
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NPI Number | 1790018513
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Entity Type | Individual
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Provider Name | AMY L. DOOLITTLE-CRIDER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2009
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 2360 STONY BROOK DR
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City | LOUISVILLE
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State | KY
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Zip | 40220-4018
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Country | US
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Telephone | 502-446-5462
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Fax | 502-394-3670
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Provider Business Mailing Address
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Address Line | 8 CADILLAC DR STE. 250
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City | BRENTWOOD
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State | TN
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Zip | 37027-5087
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Country | US
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Telephone | 615-425-4200
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Fax | 615-425-4271
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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 | 6114P
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License Number State | KY
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