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General NPI Number Information
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NPI Number | 1336985829
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Entity Type | Individual
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Provider Name | WALA'A ALMALLAH APRN
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Gender | Female
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Dates
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Enumeration Date | 07/03/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 401 E 20TH ST
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City | COVINGTON
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State | KY
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Zip | 41014-1583
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Country | US
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Telephone | 859-283-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 550 LOWELL AVE APT 12
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City | CINCINNATI
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State | OH
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Zip | 45220-2338
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Country | US
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Telephone | 513-652-8398
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 0035761
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4027540
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 0035761
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 4027540
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0035761
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 4027540
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License Number State | KY
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