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General NPI Number Information
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NPI Number | 1801382544
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Entity Type | Organization
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Legal Business Name | ARDENT PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 776 PEACHBLOW RD UNIT A
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9101
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Country | US
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Telephone | 614-398-3559
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Fax | 614-918-8545
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Provider Business Mailing Address
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Address Line | 776 PEACHBLOW RD UNIT A
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City | LEWIS CENTER
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State | OH
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Zip | 43035-9101
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Country | US
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Telephone | 614-398-3559
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Fax | 614-918-8545
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MR. DAVID TODD MERRIMAN
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Credential | APRN
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Telephone | 614-398-3559
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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.021109
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License Number State | OH
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