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General NPI Number Information
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NPI Number | 1306364906
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Entity Type | Organization
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Legal Business Name | DIRECT NP CARE LLC
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Dates
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Enumeration Date | 09/02/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1923 MALLOW LN
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City | GROVE CITY
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State | OH
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Zip | 43123-5001
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Country | US
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Telephone | 614-309-7954
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Fax |
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Provider Business Mailing Address
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Address Line | 1923 MALLOW LN
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City | GROVE CITY
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State | OH
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Zip | 43123-5001
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Country | US
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Telephone | 614-309-7954
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. CAREY SUSI
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Credential | MSN, RN, CNP
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Telephone | 614-309-7954
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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 | RN330169
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License Number State | OH
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