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General NPI Number Information
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NPI Number | 1821323569
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Entity Type | Individual
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Provider Name | NAFISA IBRAHIM RN
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Gender | Female
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 08/05/2026
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Provider Practice Location Address
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Address Line | 8910 BROAD ST SW
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City | PATASKALA
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State | OH
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Zip | 43062-7886
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Country | US
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Telephone | 740-927-6705
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Fax | 740-964-0036
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Provider Business Mailing Address
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Address Line | 2491 GRIFFIN GATE LN UNIT 201
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City | COLUMBUS
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State | OH
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Zip | 43219-3919
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Country | US
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Telephone | 614-209-1268
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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 | APRN.CNP.024746
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN. 353502
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License Number State | OH
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