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General NPI Number Information
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NPI Number | 1912212127
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Entity Type | Individual
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Provider Name | REBECCA ANNE HALCOMB CNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2010
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 3801 WOODRIDGE BLVD
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City | FAIRFIELD
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State | OH
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Zip | 45014-3598
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Country | US
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Telephone | 513-874-9933
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Fax |
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Provider Business Mailing Address
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Address Line | 988 VIXEN DR
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City | CINCINNATI
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State | OH
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Zip | 45245-2769
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Country | US
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Telephone | 513-317-9440
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0038113
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 349622
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License Number State | OH
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