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General NPI Number Information
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NPI Number | 1174879878
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH GINLEY IV CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 9614 OLD JOHNNYCAKE RIDGE RD
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44060-6521
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Country | US
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Telephone | 440-205-1225
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Fax |
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Provider Business Mailing Address
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Address Line | 38786 A T HILL PL
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City | WILLOUGHBY
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State | OH
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Zip | 44094-8835
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN.CRNA.13467
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License Number State | OH
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