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General NPI Number Information
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NPI Number | 1740500016
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Entity Type | Organization
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Legal Business Name | CHERYL DUNLAP CNP LLC
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Dates
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Enumeration Date | 06/09/2010
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 2267 YORKSHIRE PL
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City | KETTERING
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State | OH
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Zip | 45419-2833
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Country | US
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Telephone | 937-694-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 2267 YORKSHIRE PL
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City | KETTERING
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State | OH
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Zip | 45419-2833
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Country | US
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Telephone | 937-694-0815
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | CHERYL DUNLAP
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Credential | CNP
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Telephone | 937-694-0815
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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 | 10220-NP
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License Number State | OH
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