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General NPI Number Information
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NPI Number | 1982649232
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Entity Type | Individual
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Provider Name | TIMOTHY PATRICK NUSS NP
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Gender | Male
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 5969 E BROAD ST 2ND FLOOR
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City | COLUMBUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-864-6010
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Fax | 614-864-0306
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Provider Business Mailing Address
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Address Line | 85 MCNAUGHTEN RD FL 2
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City | COLUMBUS
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State | OH
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Zip | 43213-2174
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Country | US
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Telephone | 614-627-2000
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 06605
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License Number State | OH
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