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General NPI Number Information
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NPI Number | 1942238019
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Entity Type | Individual
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Provider Name | ELIZABETH TANNER NP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3955 ALEXANDRIA PIKE
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City | COLD SPRING
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State | KY
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Zip | 41076-2027
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Country | US
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Telephone | 859-442-8700
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Fax | 859-442-8718
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Provider Business Mailing Address
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Address Line | 2139 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2989
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Country | US
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Telephone | 513-351-9900
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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 | 3009149
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP07116
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License Number State | OH
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