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General NPI Number Information
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NPI Number | 1770184681
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Entity Type | Individual
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Provider Name | MADISON WALTERS CNP
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Gender | Female
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 5888 CLEVELAND AVE
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City | COLUMBUS
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State | OH
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Zip | 43231-2860
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Country | US
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Telephone | 614-882-4343
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Fax | 614-882-4664
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Provider Business Mailing Address
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Address Line | 2730 HYDE PARK AVE
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City | CINCINNATI
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State | OH
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Zip | 45209-2004
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Country | US
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Telephone | 614-499-4447
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Fax |
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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.0027955
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License Number State | OH
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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 | APRN.CNP.002795
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License Number State | OH
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