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General NPI Number Information
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NPI Number | 1952058000
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Entity Type | Individual
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Provider Name | LIA MARIE RATLIFF
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Gender | Female
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 5250 FAR HILLS AVE STE 260
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City | DAYTON
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State | OH
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Zip | 45429-2357
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Country | US
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Telephone | 937-293-4168
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 FAR HILLS AVE STE 260
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City | DAYTON
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State | OH
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Zip | 45429-2357
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Country | US
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Telephone | 937-293-4168
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0026783
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | APRN.CNP.0026783
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN.CNP.0026783
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License Number State | OH
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