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General NPI Number Information
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NPI Number | 1437143286
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Entity Type | Individual
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Provider Name | BETH ANN GUNSELMAN CNP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2005
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Last Update Date | 07/31/2015
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Provider Practice Location Address
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Address Line | 5700 COOPER FOSTER PARK RD
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City | LORAIN
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State | OH
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Zip | 44053
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Country | US
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Telephone | 440-204-7400
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Fax | 440-204-7376
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Provider Business Mailing Address
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Address Line | 5700 COOPER FOSTER PARK RD
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City | LORAIN
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State | OH
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Zip | 44053
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Country | US
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Telephone | 440-204-7400
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Fax | 440-204-7376
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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 | RN259056
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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 | COA.06553-NP
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License Number State | OH
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