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General NPI Number Information
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NPI Number | 1912477589
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Entity Type | Individual
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Provider Name | BERNICE LORENE GARRISON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 1910 FAIRGROVE AVE STE E
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City | HAMILTON
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State | OH
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Zip | 45011-1930
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Country | US
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Telephone | 513-795-7557
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 FAIRGROVE AVE STE E
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City | HAMILTON
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State | OH
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Zip | 45011-1930
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Country | US
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Telephone | 513-795-7557
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN410283
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN.CNP.0029371
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License Number State | OH
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Taxonomy #3
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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.0029371
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License Number State | OH
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