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General NPI Number Information
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NPI Number | 1962367078
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Entity Type | Individual
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Provider Name | ELIZABETH FELDHAUS BOETTCHER RN
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Gender | Female
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 9900 DICK RD
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City | HARRISON
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State | OH
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Zip | 45030-8728
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Country | US
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Telephone | 513-619-0446
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Fax |
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Provider Business Mailing Address
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Address Line | 9900 DICK RD
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City | HARRISON
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State | OH
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Zip | 45030-8728
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Country | US
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Telephone |
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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 | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | RN308166
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License Number State | OH
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