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General NPI Number Information
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NPI Number | 1760895288
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Entity Type | Individual
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Provider Name | MS. MICHELE LYNN PLUMLEY
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Gender | Female
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 4854 ONEIL BLVD
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City | LORAIN
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State | OH
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Zip | 44055-2935
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Country | US
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Telephone | 440-233-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 134 CHARLES CT
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City | ELYRIA
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State | OH
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Zip | 44035-6022
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Country | US
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Telephone | 440-310-1165
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 3088313
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License Number State | OH
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