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General NPI Number Information
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NPI Number | 1457077414
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Entity Type | Individual
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Provider Name | BROOKE M HULL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/12/2022
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 1000 NATIONAL RD
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City | WHEELING
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State | WV
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Zip | 26003-5774
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Country | US
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Telephone | 304-234-1971
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Fax |
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Provider Business Mailing Address
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Address Line | 315 W 40TH ST
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City | SHADYSIDE
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State | OH
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Zip | 43947-1130
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Country | US
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Telephone | 740-579-2575
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 114626
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License Number State | WV
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