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General NPI Number Information
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NPI Number | 1326740473
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Entity Type | Individual
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Provider Name | NICHOLAS ANTHONY POWELL APRN
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Gender | Male
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 6480 ROCKSIDE WOODS BLVD S
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2233
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Country | US
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Telephone | 216-238-9692
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Fax |
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Provider Business Mailing Address
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Address Line | 7877 N BURTON LN
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City | HUDSON
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State | OH
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Zip | 44236-1386
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Country | US
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Telephone | 330-801-9044
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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 | APRN.CNP.0033517
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License Number State | OH
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