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General NPI Number Information
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NPI Number | 1619502267
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Entity Type | Individual
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Provider Name | ZACHARY ANDREW SPINO APRN.CNP
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Gender | Male
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Dates
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Enumeration Date | 03/04/2020
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Last Update Date | 10/06/2020
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Provider Practice Location Address
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Address Line | 4275 STEELS POINTE
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City | STOW
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State | OH
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Zip | 44224-6841
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Country | US
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Telephone | 330-926-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 7145 PEBBLESTONE AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-6680
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Country | US
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Telephone | 330-354-6997
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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 | APRN.CNP.025834
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License Number State | OH
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