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General NPI Number Information
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NPI Number | 1760253512
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Entity Type | Individual
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Provider Name | MAURA ANNE KENNEDY APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 730 N MAIN ST
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City | HUBBARD
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State | OH
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Zip | 44425-1126
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Country | US
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Telephone | 234-287-9370
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Fax | 330-534-2206
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Provider Business Mailing Address
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Address Line | 100 DEBARTOLO PL STE 200
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-6095
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Country | US
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Telephone | 330-729-8146
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Fax | 330-965-5229
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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.0035648
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License Number State | OH
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