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General NPI Number Information
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NPI Number | 1194166447
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Entity Type | Individual
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Provider Name | AMIE FRUSH FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 6001 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1502
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Country | US
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Telephone | 614-832-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 5640 HOOVER RD
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City | GROVE CITY
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State | OH
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Zip | 43123-9116
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Country | US
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Telephone | 614-875-2802
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Fax |
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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 | COA.14670-NP
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License Number State | OH
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