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General NPI Number Information
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NPI Number | 1609669621
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Entity Type | Individual
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Provider Name | JENNIFER ABOAGYE APRN.CNP
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Gender | Female
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 11333 CORNELL PARK DR # 200
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City | BLUE ASH
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State | OH
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Zip | 45242-1813
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Country | US
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Telephone | 513-751-6667
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Fax |
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Provider Business Mailing Address
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Address Line | 6174 CAMBRIDGE TRL
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8757
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Country | US
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Telephone | 513-704-1768
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0038870
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License Number State | OH
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