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General NPI Number Information
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NPI Number | 1417255225
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Entity Type | Individual
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Provider Name | DEBRA A MAZZA STNA AND MA
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Gender | Female
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 701 B. BRADSHAW AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920
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Country | US
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Telephone | 330-423-2298
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2863
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920
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Country | US
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Telephone | 330-423-2298
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Fax | 330-385-1898
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | OH
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