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NPI 1679472104

NPI 1679472104 : PSTELEHEALTHPRACTICE : BROOKFIELD, OH

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General NPI Number Information
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    NPI Number           |    1679472104
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    Entity Type          |    Organization 
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    Legal Business Name  |    PSTELEHEALTHPRACTICE 
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Dates
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    Enumeration Date     |    11/02/2026
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    Last Update Date     |    11/02/2026
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Provider Practice Location Address
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    Address Line         |    6272 MERWIN CHASE RD 
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    City                 |    BROOKFIELD
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    State                |    OH
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    Zip                  |    44403-9741
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    Country              |    US
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    Telephone            |    330-397-7226
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    Fax                  |    412-998-7767
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Provider Business Mailing Address
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    Address Line         |    6272 MERWIN CHASE RD 
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    City                 |    BROOKFIELD
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    State                |    OH
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    Zip                  |    44403-9741
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    Country              |    US
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    Telephone            |    330-397-7226
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    Fax                  |    412-998-7767
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     PAIGE  SAADEH 
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    Credential           |    DNP
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    Telephone            |    330-397-7226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    
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    License Number State |    
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