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General NPI Number Information
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NPI Number | 1790819761
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Entity Type | Individual
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Provider Name | JOAN BRAMLETT WHNP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 720 W HILL ST
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City | LOUISVILLE
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State | KY
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Zip | 40208-2216
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Country | US
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Telephone | 502-635-2205
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Fax | 502-635-2210
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Provider Business Mailing Address
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Address Line | 123 BONNER AVE
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City | LOUISVILLE
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State | KY
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Zip | 40207-3921
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Country | US
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Telephone | 502-897-7457
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 4128
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License Number State | KY
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