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General NPI Number Information
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NPI Number | 1619234473
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Entity Type | Organization
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Legal Business Name | INTEGRATED NURSE PRACTITIONERS LLC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 2050 DARLINGTON EAST RD
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City | BELLVILLE
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State | OH
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Zip | 44813-8817
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Country | US
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Telephone | 419-564-8999
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Fax | 410-886-8350
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Provider Business Mailing Address
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Address Line | 2050 DARLINGTON EAST RD
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City | BELLVILLE
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State | OH
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Zip | 44813-8817
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Country | US
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Telephone | 419-564-8999
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Fax | 410-886-8350
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH ALEXANDRA BOGGS
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Credential | CNP
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Telephone | 419-564-8999
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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 |
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License Number State |
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