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General NPI Number Information
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NPI Number | 1821033499
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Entity Type | Organization
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Legal Business Name | FLORENCE MEDICAL GROUP PSC
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 8731 BANKERS STREET UNIT A
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City | FLORENCE
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State | KY
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Zip | 41042-4240
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Country | US
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Telephone | 859-282-8840
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Fax | 859-282-8830
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Provider Business Mailing Address
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Address Line | 8731 BANKERS STREET UNIT A
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City | FLORENCE
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State | KY
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Zip | 41042-4240
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Country | US
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Telephone | 859-282-8840
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Fax | 859-282-8830
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Authorized Official
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Title or Position | NEW OWNER/ADMINISTRATOR/NP
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Name | JEANNE GRIPSHOVER
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Credential | NP
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Telephone | 859-282-8840
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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 |
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License Number State |
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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 |
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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Taxonomy #7
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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