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General NPI Number Information
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NPI Number | 1164003513
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Entity Type | Individual
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Provider Name | VIKKI DUNN RN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2021
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Last Update Date | 04/17/2021
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Provider Practice Location Address
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Address Line | 780 HIGH ST
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City | WADSWORTH
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State | OH
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Zip | 44281-1610
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Country | US
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Telephone | 330-336-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 3538 BLAKE RD
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City | SEVILLE
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State | OH
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Zip | 44273-8932
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Country | US
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Telephone | 330-421-3911
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN.265847
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License Number State | OH
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