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General NPI Number Information
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NPI Number | 1831376532
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Entity Type | Individual
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Provider Name | CINDY JEAN WIDMYER NNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-3026
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Country | US
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Telephone | 513-636-4200
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Fax | 513-862-4189
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Provider Business Mailing Address
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Address Line | 375 DIXMYTH AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2475
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Country | US
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Telephone | 513-862-2514
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Fax | 513-862-4189
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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 | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | COA.13880-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | COA.13880-NP
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License Number State | OH
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