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General NPI Number Information
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NPI Number | 1255667895
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Entity Type | Individual
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Provider Name | JENELL SUZANNE FITZGERALD PCPNP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2009
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 6855 SPRING VALLEY DR STE 125
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City | HOLLAND
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State | OH
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Zip | 43528-9374
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Country | US
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Telephone | 419-389-1444
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Fax | 419-407-3515
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Provider Business Mailing Address
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Address Line | 2222 CHERRY ST STE 1900
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City | TOLEDO
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State | OH
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Zip | 43608-2673
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Country | US
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Telephone | 419-251-3878
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN.CNP.10253
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License Number State | OH
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