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General NPI Number Information
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NPI Number | 1184865487
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Entity Type | Individual
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Provider Name | THERESA ERZUAH-CUDJOE APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 1957 OHIO DR
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City | GROVE CITY
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State | OH
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Zip | 43123-4835
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Country | US
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Telephone | 614-366-5671
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Fax | 614-688-7581
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-366-5671
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Fax | 614-688-7581
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F0216140
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.18853
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License Number State | OH
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