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General NPI Number Information
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NPI Number | 1215696042
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Entity Type | Individual
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Provider Name | CAROLE DIONNE GASKIN CNP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 2600 TUSCARAWAS ST W STE 600
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City | CANTON
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State | OH
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Zip | 44708-4676
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Country | US
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Telephone | 330-363-2438
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Fax |
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Provider Business Mailing Address
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Address Line | 2429 BAKER RD SW
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City | NEW PHILADELPHIA
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State | OH
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Zip | 44663-7100
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Country | US
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Telephone | 330-827-3340
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F092115577
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License Number State | OH
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