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General NPI Number Information
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NPI Number | 1649600149
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Entity Type | Individual
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Provider Name | ELIZABETH JEAN LARRICK APRN
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Gender | Female
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 70944 GLENVIEW RD
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City | LORE CITY
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State | OH
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Zip | 43755-9636
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Country | US
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Telephone | 740-825-9052
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Fax |
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Provider Business Mailing Address
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Address Line | 70944 GLENVIEW RD
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City | LORE CITY
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State | OH
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Zip | 43755-9636
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Country | US
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Telephone | 740-825-9052
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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 | 444330
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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 | 444330
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License Number State | OH
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