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General NPI Number Information
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NPI Number | 1659875565
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Entity Type | Individual
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Provider Name | LISA REBECCA MCARTHUR NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 2 EASTON OVAL STE 110
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City | COLUMBUS
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State | OH
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Zip | 43219-6042
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Country | US
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Telephone | 144-140-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 831 E LONGVIEW AVE
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City | COLUMBUS
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State | OH
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Zip | 43224-3921
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Country | US
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Telephone | 149-718-5346
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0031131
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License Number State | OH
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