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General NPI Number Information
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NPI Number | 1497282081
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Entity Type | Individual
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Provider Name | ANGELA D AIKENS CNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2017
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 4300 ALLEN ROAD STE 300
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City | STOW
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State | OH
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Zip | 44224-4234
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Country | US
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Telephone | 330-945-3179
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Fax | 330-945-3136
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Provider Business Mailing Address
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Address Line | 3341 CREEKSIDE TRAIL
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223
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Country | US
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Telephone | 614-264-8668
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 020864
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License Number State | OH
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