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General NPI Number Information
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NPI Number | 1598006223
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Entity Type | Individual
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Provider Name | BRENDA SUE GINDER FNP-BS
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Gender | Female
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Dates
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Enumeration Date | 03/05/2013
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Last Update Date | 01/10/2017
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Provider Practice Location Address
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Address Line | 1001 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1003
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Country | US
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Telephone | 330-747-6446
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Fax | 330-747-6843
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Provider Business Mailing Address
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Address Line | 1001 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1003
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Country | US
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Telephone | 330-747-6446
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Fax | 330-747-6843
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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 | APRN.CNP.019934
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | COA.13983-NS
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License Number State | OH
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