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General NPI Number Information
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NPI Number | 1891496758
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Entity Type | Individual
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Provider Name | RENEE A DEWEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 3455 MILL RUN DR STE 310
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City | HILLIARD
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State | OH
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Zip | 43026-9082
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Country | US
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Telephone | 833-358-2036
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Fax | 855-299-2185
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Provider Business Mailing Address
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Address Line | 318 HENDRIX BLVD
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City | LAGRANGE
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State | OH
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Zip | 44050-9307
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Country | US
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Telephone | 440-822-7891
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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 | 0033333
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License Number State | OH
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