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General NPI Number Information
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NPI Number | 1386717429
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Entity Type | Individual
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Provider Name | RAYNEE CELESTE TEETOR NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 9403 KENWOOD RD STE C100
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City | BLUE ASH
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State | OH
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Zip | 45242-6857
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Country | US
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Telephone | 513-991-9990
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 HEGNER AVE
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City | CINCINNATI
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State | OH
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Zip | 45236-3615
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Country | US
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Telephone | 513-680-6582
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0027555
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN315186
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License Number State | OH
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