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General NPI Number Information
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NPI Number | 1790959161
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Entity Type | Individual
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Provider Name | LYNNE K GOOCEY APRN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 2925 VERNON PL #100
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City | CINCINNATI
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State | OH
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Zip | 45219-2425
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Country | US
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Telephone | 513-751-6667
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Fax | 513-792-4682
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Provider Business Mailing Address
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Address Line | 2925 VERNON PL STE 100
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City | CINCINNATI
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State | OH
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Zip | 45219-2425
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Country | US
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Telephone | 513-751-6667
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Fax | 513-872-4553
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3005735
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | COA09956NP
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License Number State | OH
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