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General NPI Number Information
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NPI Number | 1144304841
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Entity Type | Individual
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Provider Name | JENNIFER E PAYNE M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 1900 23RD ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1404
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Country | US
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Telephone | 330-971-7892
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Fax | 330-926-5870
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Provider Business Mailing Address
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Address Line | 137 LETHBRIDGE CIR
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City | COPLEY
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State | OH
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Zip | 44321-1361
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Country | US
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Telephone | 330-971-7892
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Fax | 330-926-5870
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35082787
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License Number State | OH
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