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General NPI Number Information
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NPI Number | 1063055622
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Entity Type | Individual
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Provider Name | BETH K THORNTON CNP
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Gender | Female
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Dates
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Enumeration Date | 10/25/2019
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Last Update Date | 12/25/2024
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Provider Practice Location Address
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Address Line | 2519 OREGON RD
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City | NORTHWOOD
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State | OH
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Zip | 43619-1001
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Country | US
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Telephone | 419-214-0330
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Fax | 567-316-6451
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Provider Business Mailing Address
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Address Line | 9741 FAIRMEADOWS LN
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City | WHITEHOUSE
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State | OH
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Zip | 43571-9017
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Country | US
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Telephone | 419-214-0330
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Fax | 567-316-6451
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.025858
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704263614
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License Number State | MI
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