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General NPI Number Information
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NPI Number | 1053024836
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Entity Type | Individual
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Provider Name | ANGELA BOVA
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Gender | Female
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 7763 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45236-4201
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Country | US
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Telephone | 513-891-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 3949 LEGENDARY RIDGE LN
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City | CLEVES
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State | OH
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Zip | 45002-2395
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Country | US
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Telephone | 513-467-0243
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0032869
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License Number State | OH
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