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NPI 1316682156

NPI 1316682156 : EBONY EPPINGER APRN CNP : CLEVELAND, OH

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General NPI Number Information
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    NPI Number           |    1316682156
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    Entity Type          |    Individual 
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    Provider Name        |    EBONY EPPINGER APRN CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/04/2022
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    Last Update Date     |    05/04/2022
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Provider Practice Location Address
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    Address Line         |    11100 EUCLID AVE 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44106-1716
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    Country              |    US
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    Telephone            |    216-444-2200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5375 GOLFWAY LN 
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    City                 |    LYNDHURST
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    State                |    OH
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    Zip                  |    44124-3751
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    Country              |    US
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    Telephone            |    216-336-3183
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    APRN.CNP.0031251
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    License Number State |    OH
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