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General NPI Number Information
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NPI Number | 1316238165
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONER ASSOCIATES OF OHIO, LLC
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 1161 LYONS RD
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City | DAYTON
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State | OH
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Zip | 45458-1857
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Country | US
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Telephone | 937-432-9201
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Fax | 937-432-9106
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Provider Business Mailing Address
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Address Line | 1161 LYONS ROAD
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City | DAYTON
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State | OH
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Zip | 45458-5451
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Country | US
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Telephone | 937-432-9201
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Fax | 937-432-9106
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. MICHELLE DENISE BUSH
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Credential | MASTERS DEGREE, FNP
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Telephone | 937-432-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1981300
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License Number State | OH
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