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General NPI Number Information
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NPI Number | 1275382731
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Entity Type | Individual
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Provider Name | BRIA FULLERTON APRN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2024
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 26250 EUCLID AVE STE 901
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City | EUCLID
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State | OH
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Zip | 44132-3696
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Country | US
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Telephone | 216-245-2823
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Fax |
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Provider Business Mailing Address
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Address Line | 26250 EUCLID AVE STE 901
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City | EUCLID
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State | OH
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Zip | 44132-3696
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Country | US
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Telephone | 216-245-2823
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Fax | 334-362-9974
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0040489
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.515279
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License Number State | OH
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