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General NPI Number Information
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NPI Number | 1477473882
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Entity Type | Organization
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Legal Business Name | FORT FAMILY HEALTH INC.
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 1100 COMMERCE ST
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City | FORT RECOVERY
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State | OH
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Zip | 45846-8003
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Country | US
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Telephone | 419-375-5550
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Fax | 419-375-5560
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Provider Business Mailing Address
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Address Line | 1100 COMMERCE ST PO BOX 555
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City | FORT RECOVERY
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State | OH
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Zip | 45846
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Country | US
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Telephone | 419-375-5550
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Fax | 419-375-5560
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Authorized Official
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Title or Position | LPN
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Name | KAREN ANN CHERILUS
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Credential |
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Telephone | 419-375-5550
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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 |
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License Number State |
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