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General NPI Number Information
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NPI Number | 1841593381
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Entity Type | Individual
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Provider Name | THERESA KAYE PEEK APRN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 03/11/2013
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Provider Practice Location Address
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Address Line | 1284 US HIGHWAY 60 W
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City | MORGANFIELD
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State | KY
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Zip | 42437-6236
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Country | US
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Telephone | 270-389-2323
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Fax | 270-389-0526
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Provider Business Mailing Address
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Address Line | PO BOX 1079
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City | HENDERSON
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State | KY
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Zip | 42419-1079
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Country | US
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Telephone | 270-827-0353
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Fax | 270-827-4966
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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 | 1100233
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3006685
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License Number State | KY
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