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NPI 1689588303

NPI 1689588303 : LORI BETH HUPP : PEEBLES, OH

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General NPI Number Information
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    NPI Number           |    1689588303
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    Entity Type          |    Individual 
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    Provider Name        |    LORI BETH HUPP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2026
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    Last Update Date     |    09/30/2026
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Provider Practice Location Address
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    Address Line         |    25719 STATE ROUTE 41 
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    City                 |    PEEBLES
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    State                |    OH
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    Zip                  |    45660-8953
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    Country              |    US
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    Telephone            |    937-587-2681
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    Fax                  |    937-587-2681
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Provider Business Mailing Address
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    Address Line         |    699 GREENLEE RD 
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    City                 |    SEAMAN
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    State                |    OH
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    Zip                  |    45679-9717
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    Country              |    US
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    Telephone            |    937-587-2681
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    Fax                  |    937-347-3503
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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        |    163WS0200X
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    Taxonomy Name        |    School Registered Nurse
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    License Number       |    RN288589
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    License Number State |    OH
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