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General NPI Number Information
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NPI Number | 1780908723
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Entity Type | Individual
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Provider Name | CHRISTINE ELIZABETH NYAKO CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 11369 MARKET ST
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City | NORTH LIMA
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State | OH
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Zip | 44452-9782
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Country | US
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Telephone | 330-965-9999
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Fax | 234-759-3971
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Provider Business Mailing Address
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Address Line | 6004 FRONTIER DR
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City | POLAND
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State | OH
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Zip | 44514-1871
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Country | US
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Telephone | 402-881-7803
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9304704
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP017515
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License Number State | PA
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Taxonomy #3
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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.0037482
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License Number State | OH
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