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General NPI Number Information
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NPI Number | 1730751181
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Entity Type | Organization
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Legal Business Name | NP2GO
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 25 HIDDEN RAVINES DR
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City | POWELL
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State | OH
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Zip | 43065-9883
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Country | US
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Telephone | 614-739-8166
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Fax | 614-639-8205
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Provider Business Mailing Address
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Address Line | 463 MILL WIND DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-6412
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Country | US
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Telephone | 614-949-9412
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | TONYA M CARTER
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Credential | CNP
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Telephone | 614-949-9412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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