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General NPI Number Information
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NPI Number | 1801272869
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Entity Type | Individual
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Provider Name | ALYSSA ANCIPINK BURT NP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 7257 WOOSTER PIKE
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City | CINCINNATI
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State | OH
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Zip | 45227-3830
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Country | US
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Telephone | 513-335-1910
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Fax |
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Provider Business Mailing Address
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Address Line | 4027 BURWOOD AVE
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City | CINCINNATI
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State | OH
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Zip | 45212-3905
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Country | US
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Telephone | 937-671-5210
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17418-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.17418
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License Number State | OH
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