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General NPI Number Information
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NPI Number | 1811140114
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Entity Type | Individual
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Provider Name | NARDA ANN SHIPP ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2008
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 2416 REGENCY ROAD
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City | LEXINGTON
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State | KY
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Zip | 40503-2954
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Country | US
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Telephone | 859-278-1316
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Fax | 859-276-3847
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Provider Business Mailing Address
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Address Line | 280 PASADENA DR
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City | LEXINGTON
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State | KY
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Zip | 40503-2925
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Country | US
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Telephone | 859-278-1316
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Fax | 859-276-3847
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1033706
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3005862
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License Number State | KY
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