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General NPI Number Information
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NPI Number | 1184429466
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Entity Type | Organization
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Legal Business Name | NORDYKE HEALTH LLC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 8044 MONTGOMERY RD STE 700
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City | CINCINNATI
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State | OH
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Zip | 45236-2926
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Country | US
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Telephone | 513-440-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 8107 WOODCREEK DR
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City | FLORENCE
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State | KY
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Zip | 41042-9595
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Country | US
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Telephone | 859-380-9191
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ZACHARY NORDYKE
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Credential |
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Telephone | 513-623-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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 #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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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