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General NPI Number Information
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NPI Number | 1376244954
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Entity Type | Individual
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Provider Name | CORY SLUSHER PMHNP
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 11085 MONTGOMERY RD STE 250
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City | CINCINNATI
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State | OH
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Zip | 45249-2395
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Country | US
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Telephone | 513-547-2861
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Fax |
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Provider Business Mailing Address
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Address Line | 855 AUTUMN CT
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City | TRENTON
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State | OH
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Zip | 45067-9646
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0033195
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License Number State | OH
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