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General NPI Number Information
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NPI Number | 1003985391
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Entity Type | Individual
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Provider Name | KELLY LEIGH SCHOLL CNP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 7100 GRAPHICS WAY STE 3100
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City | LEWIS CENTER
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State | OH
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Zip | 43035-0238
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Country | US
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Telephone | 740-428-0428
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Fax | 740-909-4077
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Provider Business Mailing Address
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Address Line | 940 MARION WILLIAMSPORT RD E
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City | MARION
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State | OH
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Zip | 43302-8684
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Country | US
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Telephone | 740-382-5781
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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 | 08935
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License Number State | OH
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