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General NPI Number Information
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NPI Number | 1831514389
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Entity Type | Individual
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Provider Name | ELIZABETH WEILAND BENNET MSN, RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | 2500 METROHEALTH DR. DEPARTMENT OF PEDIATRICS
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City | CLEVELAND
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State | OH
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Zip | 44109
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Country | US
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Telephone | 216-778-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 1533 ARTHUR AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3803
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Country | US
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Telephone | 216-228-6663
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN279694-COA1
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License Number State | OH
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