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General NPI Number Information
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NPI Number | 1689699738
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Entity Type | Individual
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Provider Name | DEBORAH MAGNOTTA C.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 2221 ACORN DR
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City | KETTERING
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State | OH
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Zip | 45419-2745
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Country | US
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Telephone | 937-435-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 801 WESTMINSTER PL
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City | DAYTON
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State | OH
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Zip | 45419-3649
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Country | US
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Telephone | 937-435-9651
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | NP08113
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License Number State | OH
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