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General NPI Number Information
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NPI Number | 1720161003
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Entity Type | Individual
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Provider Name | RUTH-ANNE BOLLINGER NNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DR
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City | EDGEWOOD
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State | KY
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Zip | 41017
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Country | US
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Telephone | 859-301-2423
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Fax | 859-301-2043
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE, ML 1013
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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 | 513-636-4466
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Fax | 513-636-5846
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 120839
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3013289
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License Number State | KY
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