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General NPI Number Information
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NPI Number | 1902631898
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Entity Type | Individual
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Provider Name | ANGELA R HUDNALL APRN
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Gender | Female
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Dates
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Enumeration Date | 09/03/2024
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 83 BALLPARK RD
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City | HARDINSBURG
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State | KY
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Zip | 40143-4859
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Country | US
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Telephone | 270-580-4778
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Fax | 270-580-4779
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Provider Business Mailing Address
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Address Line | PO BOX 1099
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City | OWENSBORO
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State | KY
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Zip | 42302-1099
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Country | US
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Telephone | 423-339-2320
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Fax | 423-339-2321
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4023618
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License Number State | KY
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