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General NPI Number Information
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NPI Number | 1902226152
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Entity Type | Individual
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Provider Name | LAUREN BEVERLEE KUSI PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/25/2014
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 8210 MACEDONIA COMMONS SUITE 3B PMB 1096
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City | MACEDONIA
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State | OH
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Zip | 44056-3640
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Country | US
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Telephone | 877-779-2873
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Fax |
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Provider Business Mailing Address
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Address Line | 8210 MACEDONIA COMMONS BLVD STE 3B-1096
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City | MACEDONIA
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State | OH
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Zip | 44056-1860
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Country | US
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Telephone | 877-779-2873
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Fax | 888-505-0251
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0026733
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License Number State | OH
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