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General NPI Number Information
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NPI Number | 1962764357
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Entity Type | Individual
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Provider Name | DEANNA MCPHERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 1200 BRECKENRIDGE ST
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City | OWENSBORO
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State | KY
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Zip | 42303-1089
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Country | US
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Telephone | 270-685-8230
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Fax | 270-685-8233
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Provider Business Mailing Address
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Address Line | 1200 BRECKENRIDGE ST
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City | OWENSBORO
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State | KY
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Zip | 42303-1089
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Country | US
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Telephone | 270-685-8230
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Fax | 270-685-8233
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 3007113
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License Number State | KY
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