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General NPI Number Information
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NPI Number | 1497556336
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Entity Type | Organization
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Legal Business Name | OPTIMUM HEALTHCARE PARTNERS LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 7071 MAYNARD PL E
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City | NEW ALBANY
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State | OH
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Zip | 43054-8881
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Country | US
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Telephone | 214-970-6817
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Fax | 844-803-4513
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Provider Business Mailing Address
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Address Line | 2637 N 400 E STE 164
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City | NORTH OGDEN
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State | UT
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Zip | 84414-2240
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Country | US
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Telephone | 214-970-6817
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Fax | 844-803-4513
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA H MARTIN
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Credential | NP
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Telephone | 214-970-6817
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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 |
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License Number State |
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