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General NPI Number Information
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NPI Number | 1598649030
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Entity Type | Individual
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Provider Name | BETHANY ELAINE NARTKER
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Gender | Female
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 23600 COMMERCE PARK STE A
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City | BEACHWOOD
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State | OH
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Zip | 44122-5817
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Country | US
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Telephone | 216-399-0201
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 NIMITZVIEW DR STE 400
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City | CINCINNATI
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State | OH
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Zip | 45230-4332
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Country | US
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Telephone | 419-707-9116
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.396253
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License Number State | OH
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