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General NPI Number Information
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NPI Number | 1316330889
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Entity Type | Individual
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Provider Name | ROBERTA O'BRIEN FNP
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Gender | Female
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 3645 STONECREEK BLVD SUITE E
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City | CINCINNATI
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State | OH
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Zip | 45251-1468
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Country | US
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Telephone | 513-687-0500
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Fax | 513-598-1107
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Provider Business Mailing Address
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Address Line | 3645 STONECREEK BLVD SUITE E
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City | CINCINNATI
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State | OH
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Zip | 45251-1468
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Country | US
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Telephone | 513-687-0500
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Fax | 513-598-1107
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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 | 3009282
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License Number State | KY
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