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General NPI Number Information
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NPI Number | 1841017498
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Entity Type | Individual
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Provider Name | PATRICIA ANNE RESKO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/24/2024
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 262 NEIL AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-7309
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Country | US
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Telephone | 614-221-7464
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Fax |
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Provider Business Mailing Address
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Address Line | 4773 SAINT ANDREWS DR
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City | GROVE CITY
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State | OH
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Zip | 43123-8186
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Country | US
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Telephone | 614-306-4066
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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 | 0037622
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License Number State | OH
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