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General NPI Number Information
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NPI Number | 1609875459
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Entity Type | Individual
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Provider Name | MICHELLE JOY SLIDER CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 02/01/2018
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Provider Practice Location Address
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Address Line | 2094 E STATE ST SUITE B
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City | SALEM
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State | OH
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Zip | 44460-4409
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Country | US
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Telephone | 330-332-1939
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Fax | 330-332-2233
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Provider Business Mailing Address
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Address Line | 2525 SOUTHEAST BLVD
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City | SALEM
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State | OH
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Zip | 44460-3464
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Country | US
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Telephone | 330-332-1939
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Fax | 330-332-2233
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | RN-283664
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License Number State | OH
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