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General NPI Number Information
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NPI Number | 1811407000
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Entity Type | Individual
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Provider Name | AMY L CORBETT PMHNP-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2017
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 1013 GRANITE DR
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City | BARDSTOWN
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State | KY
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Zip | 40004-2013
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Country | US
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Telephone | 502-349-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 312 W HIGH ST
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City | LEBANON
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State | KY
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Zip | 40033-1428
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Country | US
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Telephone | 270-321-4510
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3011763
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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 | 3011763
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License Number State | KY
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