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General NPI Number Information
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NPI Number | 1730732256
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Entity Type | Individual
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Provider Name | MAX ALEXANDER PULFER APRN-CNP
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Gender | Male
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 1843 W MAIN ST
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City | TROY
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State | OH
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Zip | 45373-2303
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Country | US
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Telephone | 937-208-4120
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Fax | 937-208-4126
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BLDG B2ND
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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Fax | 937-223-9811
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.025020
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License Number State | OH
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