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General NPI Number Information
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NPI Number | 1154411924
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Entity Type | Individual
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Provider Name | DENISE GISELE CHIVINGTON RPN
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 1425 STARR AVE
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City | TOLEDO
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State | OH
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Zip | 43605-2456
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Country | US
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Telephone | 419-693-0631
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Fax | 419-936-7606
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Provider Business Mailing Address
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Address Line | 1425 STARR AVE
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City | TOLEDO
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State | OH
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Zip | 43605-2456
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Country | US
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Telephone | 419-693-0631
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Fax | 419-936-7606
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1094655
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11278
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 177742
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | COA.14343-NP
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.14343-NP
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License Number State | OH
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