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General NPI Number Information
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NPI Number | 1811486020
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Entity Type | Individual
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Provider Name | ELIZABETH TROY
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Gender | Female
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 315 TOWNEPARK CIR
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City | LOUISVILLE
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State | KY
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Zip | 40243-2338
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Country | US
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Telephone | 859-436-8477
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Fax |
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Provider Business Mailing Address
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Address Line | 10002 ASHBY FARM DR UNIT 103
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City | LOUISVILLE
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State | KY
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Zip | 40272-7714
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Country | US
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Telephone | 614-432-4695
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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