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General NPI Number Information
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NPI Number | 1346941812
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Entity Type | Individual
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Provider Name | JENNIFER BELOW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 5351 MITCHAW RD
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City | SYLVANIA
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State | OH
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Zip | 43560-9406
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Country | US
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Telephone | 419-824-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 3163 ELMVIEW DR
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City | TOLEDO
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State | OH
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Zip | 43613-3142
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Country | US
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Telephone | 734-770-4109
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 136678
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License Number State | OH
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