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General NPI Number Information
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NPI Number | 1972936599
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Entity Type | Individual
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Provider Name | ELLA KING MS, FNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2013
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 605 CRESCENT PL
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City | GAHANNA
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State | OH
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Zip | 43230-3086
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Country | US
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Telephone | 614-545-7900
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Fax | 614-545-7901
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Provider Business Mailing Address
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Address Line | 340 POLARIS PKWY
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City | WESTERVILLE
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State | OH
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Zip | 43082-7971
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Country | US
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Telephone | 614-545-7900
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Fax | 614-545-7901
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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 | COA.14915-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | CNP.14915
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License Number State | OH
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