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General NPI Number Information
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NPI Number | 1366542433
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Entity Type | Individual
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Provider Name | BRENDA LEA DRUMMOND MSN,CNP,CNS
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 01/19/2009
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Provider Practice Location Address
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Address Line | 3740 W SYLVANIA AVE SUITE 250
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City | TOLEDO
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State | OH
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Zip | 43623-4461
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Country | US
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Telephone | 419-473-6670
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Fax | 419-473-9959
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Provider Business Mailing Address
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Address Line | 563 GARFIELD DR
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City | PERRYSBURG
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State | OH
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Zip | 43551-1618
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Country | US
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Telephone | 419-290-6083
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | COA.05725-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4714236251
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License Number State | MI
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