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General NPI Number Information
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NPI Number | 1891311346
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Entity Type | Individual
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Provider Name | JASPER NOSKER
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Gender | Female
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Dates
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Enumeration Date | 06/21/2020
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 11147 MONTGOMERY RD STE 200
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City | CINCINNATI
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State | OH
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Zip | 45249-2383
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Country | US
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Telephone | 513-214-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 5633 TYLERSVILLE RD STE B
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City | MASON
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State | OH
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Zip | 45040-2533
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Country | US
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Telephone | 513-622-9595
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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.0034260
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License Number State | CO
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