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General NPI Number Information
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NPI Number | 1932944139
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Entity Type | Individual
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Provider Name | ELIZABETH FIELDS
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Gender | Female
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Dates
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Enumeration Date | 06/28/2024
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1500 LEESTOWN RD
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City | LEXINGTON
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State | KY
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Zip | 40511-2044
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Country | US
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Telephone | 855-591-0092
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Fax |
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Provider Business Mailing Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-7001
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Country | US
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Telephone | 859-218-4269
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Fax |
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 1146771
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 4041508
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License Number State | KY
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