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General NPI Number Information
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NPI Number | 1649736984
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Entity Type | Individual
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Provider Name | WENDI DIAZ-MORALES APRN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 13422 KINSMAN RD
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City | CLEVELAND
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State | OH
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Zip | 44120-4410
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Country | US
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Telephone | 216-283-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25245
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City | GARFIELD HTS
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State | OH
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Zip | 44125-0245
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.409629
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License Number State | OH
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Taxonomy #2
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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.026520
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License Number State | OH
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