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General NPI Number Information
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NPI Number | 1104875541
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Entity Type | Organization
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Legal Business Name | UNION COUNTY
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 940 LONDON AVENUE SUITE 1100
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City | MARYSVILLE
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State | OH
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Zip | 43040
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Country | US
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Telephone | 937-642-2053
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Fax | 937-642-9725
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Provider Business Mailing Address
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Address Line | 940 LONDON AVENUE SUITE 1100
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City | MARYSVILLE
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State | OH
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Zip | 43040
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Country | US
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Telephone | 937-642-0801
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Fax | 937-642-9725
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | KRISTA FINCH
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Credential | APRN-CNP
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Telephone | 937-642-2053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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