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General NPI Number Information
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NPI Number | 1629410204
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Entity Type | Individual
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Provider Name | MICHELLE CENERIZIO PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 1345 PLANTATION RD NE
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City | ROANOKE
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State | VA
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Zip | 24012-5712
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Country | US
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Telephone | 833-510-4357
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Fax | 866-460-2997
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY RD STE 400
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City | CINCINNATI
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State | OH
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Zip | 45212-2600
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Country | US
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Telephone | 833-510-4357
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Fax | 866-460-2997
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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 | 232564
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN232564
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024188823
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License Number State | VA
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