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General NPI Number Information
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NPI Number | 1932582202
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Entity Type | Individual
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Provider Name | ALEC SEAN BISAHA CNP
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Gender | Male
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Dates
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Enumeration Date | 07/06/2015
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1955 HENDERSON RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2401
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Country | US
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Telephone | 614-340-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 HENDERSON RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2401
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Country | US
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Telephone | 614-340-7546
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.326078-1
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.17363-NP
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License Number State | OH
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