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General NPI Number Information
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NPI Number | 1023726791
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Entity Type | Organization
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Legal Business Name | AE HEALTH LLC
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 221 SCHOOL ST
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-1078
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Country | US
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Telephone | 937-599-3688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110
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City | MARYSVILLE
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State | OH
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Zip | 43040-0110
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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 | OWNER
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Name | AMY EDWARDS
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Credential |
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Telephone | 937-599-3688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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