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General NPI Number Information
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NPI Number | 1164784351
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Entity Type | Individual
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Provider Name | JONATHAN P RUEDISUELI APRN, MSN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 5830 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45248-1623
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Country | US
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Telephone | 513-693-4035
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Fax | 513-693-4036
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Provider Business Mailing Address
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Address Line | PO BOX 932958
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City | CLEVELAND
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State | OH
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Zip | 44193-0028
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Country | US
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Telephone | 615-425-4200
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Fax | 615-425-4268
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.327840
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1162168
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3013282
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.13528
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License Number State | OH
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