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General NPI Number Information
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NPI Number | 1740250968
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Entity Type | Individual
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Provider Name | JENNIFER L NYITRAY PA
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Gender | Female
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 975 HAGER ST
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City | SAINT MARYS
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State | OH
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Zip | 45885-2420
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Country | US
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Telephone | 419-394-9992
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Fax | 419-394-9629
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Provider Business Mailing Address
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Address Line | 200 SAINT CLAIR AVE
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City | SAINT MARYS
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State | OH
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Zip | 45885-2494
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Country | US
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Telephone | 419-394-3335
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1959
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License Number State | OH
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