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General NPI Number Information
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NPI Number | 1215406533
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Entity Type | Individual
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Provider Name | KATHERINE LEE STELL MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 175 GREAT OAKS TRL
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City | WADSWORTH
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State | OH
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Zip | 44281-8712
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Country | US
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Telephone | 330-336-3588
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Fax |
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Provider Business Mailing Address
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Address Line | 5740 ROSEMONT WAY
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City | MEDINA
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State | OH
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Zip | 44256-3566
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Country | US
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Telephone | 740-391-0646
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 023374
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License Number State | OH
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