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General NPI Number Information
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NPI Number | 1821744293
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Entity Type | Individual
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Provider Name | JENNIFER MOORE APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1 PERKINS SQ
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City | AKRON
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State | OH
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Zip | 44308-1063
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Country | US
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Telephone | 330-543-8885
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Fax | 330-543-8890
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Provider Business Mailing Address
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Address Line | 6076 WHIPPLE AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7616
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Country | US
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Telephone | 330-433-1777
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.422977
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0039554
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License Number State | OH
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