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General NPI Number Information
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NPI Number | 1669735312
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Entity Type | Individual
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Provider Name | CHERI CUTLIP AGPCNP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 10/13/2019
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Provider Practice Location Address
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Address Line | 6674 TIPPECANOE RD STE 1
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City | CANFIELD
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State | OH
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Zip | 44406-9149
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Country | US
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Telephone | 330-533-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 6674 TIPPECANOE RD STE 1
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City | CANFIELD
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State | OH
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Zip | 44406-9149
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Country | US
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Telephone | 330-533-8490
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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 | RN239947
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.020647
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN.239947
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License Number State | OH
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