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General NPI Number Information
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NPI Number | 1528343266
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Entity Type | Individual
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Provider Name | KARIN L RETZKE CNP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | MIDWEST BREAST & AESTHETIC SURGERY 1080 BEECHER CROSSING N, SUITE A
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 855-687-6227
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Fax | 881-681-9643
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Provider Business Mailing Address
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Address Line | MIDWEST BREAST & AESTHETIC SURGERY 1080 BEECHER CROSSING N, SUITE A
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 855-687-6227
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Fax | 881-681-9643
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.12854
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License Number State | OH
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