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General NPI Number Information
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NPI Number | 1396278107
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Entity Type | Individual
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Provider Name | PEGGY HITCHCOCK CNP
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Gender | Female
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Dates
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Enumeration Date | 04/07/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 1415 WINKLER HILL RD NW
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City | DOVER
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State | OH
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Zip | 44622-7617
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Country | US
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Telephone | 330-364-7694
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Fax |
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Provider Business Mailing Address
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Address Line | 20265 EMERY ROAD
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City | NORTH RANDALL
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State | OH
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Zip | 44128-7617
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Country | US
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Telephone | 440-523-9966
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Fax | 216-584-2895
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 381316
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.021193
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License Number State | OH
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