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NPI 1568230936

NPI 1568230936 : TENIA SCARVER PMHNP-BC : WESTERVILLE, OH

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General NPI Number Information
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    NPI Number           |    1568230936
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    Entity Type          |    Individual 
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    Provider Name        |    TENIA SCARVER PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/15/2023
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    Last Update Date     |    12/18/2023
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Provider Practice Location Address
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    Address Line         |    580 OFFICE PKWY 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43082-8644
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    Country              |    US
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    Telephone            |    614-379-3430
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    745 WILTSHIRE RD 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43204-2336
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    Country              |    US
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    Telephone            |    937-689-6912
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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       |    0035547
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    License Number State |    OH
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