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General NPI Number Information
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NPI Number | 1972164234
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Entity Type | Individual
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Provider Name | BRITTANY ELISE ALLESHOUSE
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 203 VAN HOUSE LN SUITE 1
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City | LONDON
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State | KY
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Zip | 40741
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Country | US
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Telephone | 606-770-5026
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1535
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City | BARBOURVILLE
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State | KY
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Zip | 40906-5535
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Country | US
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Telephone | 606-546-7777
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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 | 3013435
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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 | 3013435
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License Number State | KY
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