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General NPI Number Information
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NPI Number | 1912952813
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Entity Type | Individual
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Provider Name | CYNTHIA M. FISTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 131 STONECREST RD SUITE 100
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City | SHELBYVILLE
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State | KY
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Zip | 40065-9191
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Country | US
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Telephone | 502-633-7093
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Fax | 502-633-7094
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Provider Business Mailing Address
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Address Line | 315 E BROADWAY
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City | LOUISVILLE
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State | KY
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Zip | 40202-1703
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Country | US
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Telephone | 502-629-2500
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Fax | 502-629-3166
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2762P
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License Number State | KY
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