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General NPI Number Information
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NPI Number | 1992500052
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Entity Type | Individual
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Provider Name | PATRICIA LYNN FURMAN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 400 RING RD STE 155
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8790
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Country | US
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Telephone | 270-319-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 203 KEENELAND DR APT B
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-5718
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Country | US
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Telephone | 270-312-3062
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | 0000
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License Number State | KY
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