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General NPI Number Information
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NPI Number | 1801513692
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Entity Type | Individual
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Provider Name | FAITH WAWIRA OBONYO NP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 6400 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-2086
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Country | US
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Telephone | 614-404-1337
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Fax |
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Provider Business Mailing Address
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Address Line | 872 HILLTOP DR
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-2929
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Country | US
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Telephone | 937-215-9297
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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.0033103
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License Number State | OH
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