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General NPI Number Information
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NPI Number | 1982175865
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Entity Type | Individual
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Provider Name | KELCEY E ROHAN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2018
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 3645 STONECREEK BLVD UNIT B
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City | CINCINNATI
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State | OH
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Zip | 45251-1469
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Country | US
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Telephone | 513-245-7580
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Fax |
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Provider Business Mailing Address
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Address Line | 3645 STONECREEK BLVD UNIT B
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City | CINCINNATI
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State | OH
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Zip | 45251-1469
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Country | US
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Telephone | 513-245-7580
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 359481
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1164641
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3013817
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0026761
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License Number State | OH
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