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General NPI Number Information
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NPI Number | 1346637840
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Entity Type | Individual
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Provider Name | COURTNEY ANN RODGERS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 401 N EWING ST
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City | LANCASTER
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State | OH
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Zip | 43130-3372
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Country | US
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Telephone | 740-687-8103
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HAWTHORNE DR
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City | ASHVILLE
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State | OH
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Zip | 43103-9374
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Country | US
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Telephone | 740-310-2402
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17233-NP
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License Number State | OH
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