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General NPI Number Information
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NPI Number | 1588317887
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Entity Type | Individual
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Provider Name | JENNIFER GRIPSHOVER
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Gender | Female
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE ML 7015
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4266
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Fax | 513-636-3549
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Provider Business Mailing Address
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Address Line | 9065 FORT HENRY DR
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City | UNION
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State | KY
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Zip | 41091-6801
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Country | US
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Telephone | 859-818-4200
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0030144
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License Number State | OH
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