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General NPI Number Information
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NPI Number | 1932169752
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Entity Type | Individual
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Provider Name | JOHN M. JOERLING FNP
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 166 HOSPITAL ST
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City | MONTICELLO
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State | KY
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Zip | 42633-2416
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Country | US
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Telephone | 606-340-3251
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Fax | 606-340-3266
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Provider Business Mailing Address
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Address Line | 166 HOSPITAL ST
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City | MONTICELLO
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State | KY
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Zip | 42633-2416
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Country | US
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Telephone | 606-340-3251
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Fax | 606-340-3266
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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 | 8377
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License Number State | TN
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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 | 3002658
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License Number State | KY
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