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General NPI Number Information
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NPI Number | 1356841472
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Entity Type | Individual
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Provider Name | BOBI JO CARPENTER NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 1180 N. COURT ST.
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City | CIRCLEVILLE
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State | OH
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Zip | 43113
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Country | US
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Telephone | 740-649-9147
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 360
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City | DUBLIN
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State | OH
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Zip | 43016-4141
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Country | US
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Telephone |
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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 | APRN.CNP.022351
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License Number State | OH
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