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General NPI Number Information
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NPI Number | 1053689778
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Entity Type | Individual
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Provider Name | NICOLE A ZIMMERMAN MSN,RN,NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 2772 HIMELRIGH BLVD
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City | NORTON
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State | OH
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Zip | 44203-3938
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Country | US
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Telephone | 330-322-2993
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Fax |
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Provider Business Mailing Address
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Address Line | 2772 HIMELRIGH BLVD
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City | NORTON
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State | OH
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Zip | 44203
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Country | US
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Telephone | 330-322-2993
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | COA.13258-NP
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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.348163-
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License Number State | OH
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