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General NPI Number Information
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NPI Number | 1255771564
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Entity Type | Individual
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Provider Name | DINA MICHELLE LITTLER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 7580 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45255-4221
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Country | US
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Telephone | 513-578-6093
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Fax |
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Provider Business Mailing Address
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Address Line | 474 HOME ST
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City | GEORGETOWN
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State | OH
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Zip | 45121-1459
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Country | US
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Telephone | 937-378-2979
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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.14686-NP
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License Number State | OH
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