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General NPI Number Information
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NPI Number | 1639862337
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Entity Type | Individual
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Provider Name | BENEDICTA AFFUL ESHUN PMHNP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 21 E STATE ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4281
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Country | US
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Telephone | 574-546-1900
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Fax | 574-546-1999
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Provider Business Mailing Address
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Address Line | 5308 RIVER RIDGE DR
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City | FAIRFIELD TOWNSHIP
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State | OH
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Zip | 45011-2220
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Country | US
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Telephone | 513-485-3041
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0033250
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License Number State | OH
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