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General NPI Number Information
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NPI Number | 1881501971
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Entity Type | Organization
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Legal Business Name | OVERSTREET MEDICAL CONSULTING, LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 166 PASADENA DR STE 50
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City | LEXINGTON
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State | KY
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Zip | 40503-3087
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Country | US
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Telephone | 859-233-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 3717 COTTAGE CIR
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City | LEXINGTON
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State | KY
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Zip | 40513-1114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTICE
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Name | KAYE OVERSTREET
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Credential | APRN
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Telephone | 859-233-8494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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