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General NPI Number Information
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NPI Number | 1871595751
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Entity Type | Individual
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Provider Name | PAUL STEVEN PHIPPS CRNA - ARNP
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 1 SAINT JOSEPH DR
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City | LEXINGTON
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State | KY
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Zip | 40504-3742
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Country | US
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Telephone | 859-313-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 425 LEWIS HARGETT CIR
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City | LEXINGTON
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State | KY
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Zip | 40503-3590
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Country | US
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Telephone | 859-268-1030
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Fax | 859-269-4120
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | NA-08266
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 1079622
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 1079622
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 1079622
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 307555
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 307555
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 307555
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 059072-23
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License Number State | NH
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Taxonomy #9
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3004373
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License Number State | KY
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