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General NPI Number Information
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NPI Number | 1053215913
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Entity Type | Organization
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Legal Business Name | ALTA HEALTHCARE
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 3887 INDIANOLA AVE STE A
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City | COLUMBUS
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State | OH
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Zip | 43214-3201
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Country | US
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Telephone | 614-547-2050
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Fax | 614-612-0580
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Provider Business Mailing Address
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Address Line | 3887 INDIANOLA AVE STE A
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City | COLUMBUS
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State | OH
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Zip | 43214-3201
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Country | US
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Telephone | 614-547-2050
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Fax | 614-612-0580
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ERIC RYAN DARDINGER
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Credential | APRN
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Telephone | 614-547-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | NULL
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