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General NPI Number Information
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NPI Number | 1679547160
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Entity Type | Individual
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Provider Name | DAWN NIESS CNP
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Gender | Female
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE MLC 5021
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4266
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Fax | 513-636-3549
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE MLC 5021
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4266
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Fax | 513-636-3549
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | R1137817
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | COA.18287-NP
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License Number State | OK
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