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General NPI Number Information
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NPI Number | 1821680372
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Entity Type | Individual
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Provider Name | BETHANY LYNN ALBAUGH APRN,PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 404 N WALNUT ST
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City | DOVER
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State | OH
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Zip | 44622-2850
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Country | US
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Telephone | 330-343-6600
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Fax | 330-343-6405
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Provider Business Mailing Address
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Address Line | 130 W 3RD ST
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City | DOVER
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State | OH
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Zip | 44622-2934
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Country | US
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Telephone | 330-343-6600
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Fax | 330-343-6405
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.290526
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN.290526
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License Number State | OH
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Taxonomy #3
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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.0040080
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License Number State | OH
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