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General NPI Number Information
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NPI Number | 1134487630
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Entity Type | Organization
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Legal Business Name | MICHELLE S. PLATT, CNP
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Dates
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Enumeration Date | 05/03/2012
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 2868 BANNING RD SUITE 2
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City | CINCINNATI
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State | OH
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Zip | 45239-5564
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Country | US
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Telephone | 513-310-5147
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Fax |
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Provider Business Mailing Address
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Address Line | 2868 BANNING RD SUITE 2
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City | CINCINNATI
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State | OH
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Zip | 45239-5564
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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 | PRACTICE MANAGER
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Name | SUE LANDRUM
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Credential |
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Telephone | 513-275-5833
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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 | COA12920NP
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License Number State | OH
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