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General NPI Number Information
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NPI Number | 1821774795
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Entity Type | Individual
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Provider Name | JULIANNE KEELER APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1320 MERCY DR NW
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City | CANTON
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State | OH
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Zip | 44708-2614
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Country | US
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Telephone | 330-489-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 185 FRANKS AVE
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City | WADSWORTH
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State | OH
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Zip | 44281
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Country | US
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Telephone | 330-714-3652
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0034217
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License Number State | OH
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