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General NPI Number Information
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NPI Number | 1174168843
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Entity Type | Organization
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Legal Business Name | NP ADVANTAGE LLC
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Dates
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Enumeration Date | 11/17/2019
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 20 S 3RD ST STE 210
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City | COLUMBUS
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State | OH
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Zip | 43215-4206
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Country | US
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Telephone | 614-296-4941
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Fax |
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Provider Business Mailing Address
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Address Line | 385 KASONS WAY
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City | GAHANNA
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State | OH
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Zip | 43230-6295
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Country | US
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Telephone | 614-330-6094
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER AND OWNER
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Name | DR. PATRICIA DENISE BAILEY
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Credential | PHD APRN CNP
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Telephone | 614-296-4941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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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 |
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License Number State |
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