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General NPI Number Information
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NPI Number | 1639550981
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Entity Type | Individual
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Provider Name | EMILY MARIE FREIMUTH PMHNP-BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 10200 ALLIANCE RD STE 150
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City | BLUE ASH
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State | OH
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Zip | 45242-4754
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Country | US
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Telephone | 855-401-9166
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Fax | 513-891-2838
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Provider Business Mailing Address
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Address Line | 3095 KETTERING BLVD
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City | MORAINE
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State | OH
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Zip | 45439-1983
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Country | US
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Telephone | 937-534-1369
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.17451
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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 | APRN.CNP.17451
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License Number State | OH
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