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General NPI Number Information
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NPI Number | 1437867165
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Entity Type | Individual
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Provider Name | OSAGIE EKHATOR
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Gender | Male
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Dates
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Enumeration Date | 11/10/2022
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 8614 SHEPHERD FARM DR
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City | WEST CHESTER
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State | OH
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Zip | 45069-1128
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Country | US
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Telephone | 513-432-0487
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Fax |
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Provider Business Mailing Address
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Address Line | 8614 SHEPHERD FARM DR
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City | WEST CHESTER
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State | OH
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Zip | 45069-1128
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Country | US
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Telephone | 513-432-0487
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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 | 0032665
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License Number State | OH
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