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General NPI Number Information
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NPI Number | 1760394589
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Entity Type | Individual
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Provider Name | SANDRA AERNI WAKELAM CNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 6331 GLENWAY AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-6301
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Country | US
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Telephone | 513-346-1270
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Fax | 513-346-1281
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Provider Business Mailing Address
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Address Line | 4685 FOREST AVE
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City | CINCINNATI
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State | OH
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Zip | 45212-3397
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Country | US
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Telephone | 513-246-1964
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Fax | 513-852-8525
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0041369
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License Number State | OH
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