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General NPI Number Information
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NPI Number | 1639625205
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Entity Type | Individual
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Provider Name | MOLLIE KATHLEEN PENCE PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 181 TAYLOR AVE
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City | COLUMBUS
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State | OH
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Zip | 43203-1779
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Country | US
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Telephone | 614-257-3760
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Fax | 614-257-3750
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-257-3760
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Fax | 614-257-3750
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN.CNP.019504
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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 | 201801169NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 350691
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 201800505RN
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.019504
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License Number State | OH
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