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NPI 1831013234

NPI 1831013234 : AMBIREHEALTH, INC. : STOUTSVILLE, OH

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General NPI Number Information
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    NPI Number           |    1831013234
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    Entity Type          |    Organization 
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    Legal Business Name  |    AMBIREHEALTH, INC. 
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Dates
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    Enumeration Date     |    08/07/2026
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    Last Update Date     |    08/07/2026
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Provider Practice Location Address
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    Address Line         |    9579 CORDLE LANE 
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    City                 |    STOUTSVILLE
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    State                |    OH
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    Zip                  |    43154
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    Country              |    US
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    Telephone            |    614-531-9150
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    Fax                  |    614-525-1778
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Provider Business Mailing Address
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    Address Line         |    9579 CORDLE LANE 
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    City                 |    STOUTSVILLE
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    State                |    OH
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    Zip                  |    43154
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    Country              |    US
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    Telephone            |    614-531-9150
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    Fax                  |    614-525-1778
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER/FOUNDER
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    Name                 |    MR. DAVID ALLEN BOLEY II
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    Credential           |    CNP
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    Telephone            |    614-531-9150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RA0401X
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    Taxonomy Name        |    Addiction Medicine (Internal Medicine) Physician
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    License Number       |    
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    License Number State |    
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