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General NPI Number Information
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NPI Number | 1972380939
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Entity Type | Individual
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Provider Name | CARLEY LEANN ALLEN-ROSE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2023
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 223 E SPRING ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-3422
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Country | US
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Telephone | 812-945-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 4101 HERB LEWIS RD
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-9310
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Country | US
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Telephone |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 71014877A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 4009066
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License Number State | KY
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