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General NPI Number Information
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NPI Number | 1629555321
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Entity Type | Individual
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Provider Name | LONNA L LARGER MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2018
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 6331 GLENWAY AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-6301
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Country | US
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Telephone | 513-346-1270
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Fax | 513-346-1281
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Provider Business Mailing Address
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Address Line | 6331 GLENWAY AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-6301
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Country | US
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Telephone | 513-346-1270
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Fax | 513-346-1281
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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 | 023330
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | LE-0024120
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License Number State | OH
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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 | 4011274
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License Number State | KY
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