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General NPI Number Information
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NPI Number | 1215543582
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Entity Type | Individual
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Provider Name | ELIEZAR A AGARAN CNP
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Gender | Male
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 740 W GALBRAITH RD STE 190
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City | CINCINNATI
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State | OH
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Zip | 45231-6002
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Country | US
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Telephone | 513-346-3399
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Fax | 513-853-5543
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Provider Business Mailing Address
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Address Line | 740 W GALBRAITH RD STE 190
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City | CINCINNATI
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State | OH
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Zip | 45231-6002
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Country | US
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Telephone | 513-346-3399
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Fax | 513-853-5543
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0027551
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 2020012697
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License Number State | OH
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