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General NPI Number Information
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NPI Number | 1518387257
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Entity Type | Individual
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Provider Name | BETH CANFIELD ACNS-BC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 11/04/2015
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Provider Practice Location Address
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Address Line | 6721 IDLELAWN AVE NW
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City | CANAL FULTON
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State | OH
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Zip | 44614-9420
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Country | US
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Telephone | 330-854-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 6721 IDLELAWN AVE NW
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City | CANAL FULTON
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State | OH
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Zip | 44614-9420
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Country | US
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Telephone | 330-854-3818
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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 | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 2012001316
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License Number State | OH
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