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General NPI Number Information
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NPI Number | 1639873094
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Entity Type | Individual
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Provider Name | IRENE ZIEBIH ATANGA APRN
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Gender | Female
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 1900 23RD ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1404
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Country | US
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Telephone | 330-971-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 WINDWARD LN
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City | KENT
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State | OH
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Zip | 44240-5402
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Country | US
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Telephone | 330-328-0262
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0033567
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License Number State | OH
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