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General NPI Number Information
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NPI Number | 1679065163
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Entity Type | Individual
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Provider Name | JENNA LYNN JANUZZI FNP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 7303 SONGBIRD LN
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City | NORTH RIDGEVILLE
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State | OH
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Zip | 44039-6357
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Country | US
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Telephone | 440-668-7357
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Fax |
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Provider Business Mailing Address
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Address Line | 8055 MAYFIELD RD STE 105
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City | CHESTERLAND
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State | OH
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Zip | 44026-2447
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Country | US
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Telephone | 440-214-8027
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Fax | 216-201-8173
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.022643
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License Number State | OH
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