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General NPI Number Information
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NPI Number | 1912521014
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Entity Type | Individual
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Provider Name | TODD EDMOND DEAN MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1100 HILL RD N
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City | PICKERINGTON
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State | OH
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Zip | 43147-8659
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Country | US
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Telephone | 866-389-2727
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Fax | 508-630-0222
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Provider Business Mailing Address
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Address Line | 1100 HILL RD N
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City | PICKERINGTON
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State | OH
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Zip | 43147-8659
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Country | US
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Telephone | 866-389-2727
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Fax | 508-630-0222
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CNP.APRN.0026799
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0026799
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0026799
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License Number State | OH
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