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General NPI Number Information
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NPI Number | 1205343936
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Entity Type | Individual
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Provider Name | ARREY I EYONGHEROK FNP
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Gender | Female
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 09/08/2024
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Provider Practice Location Address
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Address Line | 2773 ORCHARD RUN RD
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City | WEST CARROLLTON
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State | OH
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Zip | 45449-2831
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Country | US
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Telephone | 937-734-8333
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Fax |
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Provider Business Mailing Address
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Address Line | 3067 CHAMBERLIN DR
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City | DAYTON
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State | OH
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Zip | 45449-3742
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Country | US
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Telephone | 937-329-7978
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.CNP.021963
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP.CNP.021963
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License Number State | OH
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