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General NPI Number Information
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NPI Number | 1326994419
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Entity Type | Individual
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Provider Name | MS. TINA LYNN O'ROURKE
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Gender | Female
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 1759 MAPLEWOOD DR
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City | LEBANON
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State | OH
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Zip | 45036-9328
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Country | US
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Telephone | 513-282-5395
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Fax |
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Provider Business Mailing Address
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Address Line | 516 MOUND CT APT 1
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City | LEBANON
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State | OH
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Zip | 45036-1950
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Country | US
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Telephone | 513-816-9763
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State | OH
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