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General NPI Number Information
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NPI Number | 1588188742
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Entity Type | Individual
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Provider Name | CATHERINE CODNER NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 4807 ROCKSIDE RD
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2192
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Country | US
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Telephone | 216-520-0765
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Fax |
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Provider Business Mailing Address
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Address Line | 17106 HUNTING MEADOWS DR
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City | STRONGSVILLE
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State | OH
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Zip | 44136-6228
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Country | US
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Telephone | 216-978-1721
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.021112
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License Number State | OH
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