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General NPI Number Information
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NPI Number | 1992477707
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Entity Type | Individual
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Provider Name | PATRICIA J CONRATH PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 90 HOSPITAL DR
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City | ATHENS
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State | OH
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Zip | 45701-2301
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Country | US
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Telephone | 740-592-3091
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Fax | 740-773-3985
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-0188
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Country | US
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Telephone | 740-773-4366
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Fax | 740-773-4750
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN.338135
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | LE-00039236
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0030371
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License Number State | OH
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