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General NPI Number Information
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NPI Number | 1023623667
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Entity Type | Individual
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Provider Name | BARBARA JEAN GORDON STNA
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Gender | Female
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 640 N LINCOLN AVE
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City | ALLIANCE
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State | OH
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Zip | 44601-1640
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Country | US
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Telephone | 330-268-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 3805 RAVENNA AVE
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City | LOUISVILLE
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State | OH
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Zip | 44641-8922
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Country | US
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Telephone | 330-418-8992
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Fax | 330-875-3226
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 400702591207
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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