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NPI 1790353183

NPI 1790353183 : CHRISTY ANN CASE ARNP : BARDSTOWN, KY

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General NPI Number Information
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    NPI Number           |    1790353183
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTY ANN CASE ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2021
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    Last Update Date     |    05/16/2024
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Provider Practice Location Address
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    Address Line         |    106 W JOHN ROWAN BLVD 
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    City                 |    BARDSTOWN
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    State                |    KY
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    Zip                  |    40004-2636
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    Country              |    US
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    Telephone            |    502-350-4799
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    Fax                  |    502-350-4798
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Provider Business Mailing Address
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    Address Line         |    PO BOX 776351 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60677-6351
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    Country              |    US
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    Telephone            |    502-558-9490
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    Fax                  |    502-272-5116
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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       |    F06210181
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    License Number State |    KY
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