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General NPI Number Information
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NPI Number | 1922825439
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Entity Type | Individual
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Provider Name | JORDAN LEIGH RHYAN APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 9049 N SPRINGBORO PK
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City | MIAMISBURG
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State | OH
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Zip | 45342
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Country | US
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Telephone | 937-759-0545
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Fax |
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Provider Business Mailing Address
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Address Line | 23 N MAIN ST PO BOX 18
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City | NORTH HAMPTON
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State | OH
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Zip | 45349
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Country | US
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Telephone | 937-684-3804
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 414472
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License Number State | OH
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