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General NPI Number Information
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NPI Number | 1992849509
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Entity Type | Individual
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Provider Name | PHYLLIS J ATKINSON NP
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 954 SEDGEFIELD CT
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City | MAINEVILLE
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State | OH
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Zip | 45039-7513
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Country | US
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Telephone | 513-275-6551
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Fax | 513-275-6557
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | UNIONTOWN
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State | OH
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Zip | 44685-1060
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Country | US
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Telephone | 513-275-6551
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Fax | 513-275-6557
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 02537
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License Number State | OH
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