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General NPI Number Information
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NPI Number | 1366159329
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Entity Type | Individual
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Provider Name | LORIEN DEBRUYN NP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 855 W MAPLE ST STE 110
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City | HARTVILLE
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State | OH
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Zip | 44632-7601
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Country | US
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Telephone | 330-877-3616
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Fax | 330-877-1783
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Provider Business Mailing Address
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Address Line | PO BOX 932909
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City | CLEVELAND
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State | OH
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Zip | 44193-0026
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Country | US
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Telephone | 330-854-4281
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Fax | 330-854-0032
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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.0032459
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License Number State | OH
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