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General NPI Number Information
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NPI Number | 1376857094
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Entity Type | Individual
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Provider Name | ALAN J ULLMAN NP
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Gender | Male
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Dates
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Enumeration Date | 08/05/2010
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 333 CONOVER DR STE B
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City | FRANKLIN
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State | OH
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Zip | 45005-1900
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Country | US
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Telephone | 513-318-1188
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Fax | 513-318-1189
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Provider Business Mailing Address
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Address Line | 333 CONOVER DR STE B
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City | FRANKLIN
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State | OH
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Zip | 45005-1900
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Country | US
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Telephone | 513-318-1188
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Fax | 513-318-1189
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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 | NP 11601
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA-11601-NP
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License Number State | OH
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