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General NPI Number Information
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NPI Number | 1942792353
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Entity Type | Individual
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Provider Name | LAURIE COLLINS FNP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 800 S MAIN ST STE C
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City | NICHOLASVILLE
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State | KY
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Zip | 40356-1868
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Country | US
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Telephone | 859-241-5136
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Fax |
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Provider Business Mailing Address
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Address Line | 466 LINDEN AVE STE A
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City | HARRODSBURG
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State | KY
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Zip | 40330-1841
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Country | US
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Telephone | 859-734-5173
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3012303
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License Number State | KY
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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 | 3012303
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License Number State | KY
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