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General NPI Number Information
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NPI Number | 1982960332
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Entity Type | Individual
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Provider Name | SANDRA ROSE ANNOR NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 50 E RIVERCENTER BLVD STE 434
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City | COVINGTON
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State | KY
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Zip | 41011-1660
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Country | US
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Telephone | 833-358-2278
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Fax |
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Provider Business Mailing Address
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Address Line | 1514 N WOOD CREEK DR
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City | CENTERVILLE
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State | OH
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Zip | 45458-9747
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Country | US
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Telephone | 937-829-6197
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.020263
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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 | RN 343896
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License Number State | OH
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