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General NPI Number Information
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NPI Number | 1639642416
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Entity Type | Individual
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Provider Name | ELIZABETH QUEEN CNP
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Gender | Female
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 2260 MORSE RD
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City | COLUMBUS
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State | OH
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Zip | 43229-5858
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Country | US
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Telephone | 614-702-7899
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Fax | 614-706-1570
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Provider Business Mailing Address
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Address Line | 595 SCIOTO MEADOWS BLVD
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City | GROVE CITY
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State | OH
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Zip | 43123-8654
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Country | US
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Telephone | 614-204-4721
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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 | RN.407599
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.024127
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License Number State | OH
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