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General NPI Number Information
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NPI Number | 1679242796
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Entity Type | Individual
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Provider Name | JANNIFER R FLINT LPN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 09/11/2021
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Provider Practice Location Address
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Address Line | 730 E CENTRAL AVE
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City | MIAMISBURG
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State | OH
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Zip | 45342-2446
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Country | US
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Telephone | 937-371-2859
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Fax |
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Provider Business Mailing Address
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Address Line | 730 E CENTRAL AVE
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City | MIAMISBURG
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State | OH
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Zip | 45342-2446
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Country | US
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Telephone | 937-371-2859
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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 | 364SX0204X
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Taxonomy Name | Pediatric Oncology Clinical Nurse Specialist
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License Number | 140256
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number | 140256
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License Number State | OH
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