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General NPI Number Information
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NPI Number | 1629309570
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Entity Type | Individual
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Provider Name | GLORIA STORMER-WASHINGTON RN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 1586 FORESTBROOK LN
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City | PAINESVILLE
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State | OH
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Zip | 44077-7610
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Country | US
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Telephone | 216-534-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 1586 FORESTBROOK LN
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City | PAINESVILLE
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State | OH
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Zip | 44077-7610
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Country | US
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Telephone |
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN319042
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN319042
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163WG0600X
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Taxonomy Name | Gerontology Registered Nurse
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License Number | RN319042
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN319042
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 163WH0500X
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Taxonomy Name | Hemodialysis Registered Nurse
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License Number | RN319042
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License Number State | OH
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