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General NPI Number Information
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NPI Number | 1639977218
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Entity Type | Individual
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Provider Name | ROBERT NEIL GENGLER
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4015 EXECUTIVE PARK DR STE 320
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City | CINCINNATI
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State | OH
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Zip | 45241-4015
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Country | US
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Telephone | 513-563-0488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8073
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City | CINCINNATI
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State | OH
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Zip | 45208-0073
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.501667
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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.0039377
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License Number State | OH
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