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General NPI Number Information
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NPI Number | 1851098677
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Entity Type | Individual
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Provider Name | MS. FEDNA JUSTINE GERALD
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 9500 HOWLAND SPRINGS RD SE
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City | WARREN
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State | OH
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Zip | 44484-3108
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Country | US
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Telephone | 216-260-1405
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Fax | 330-632-8823
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Provider Business Mailing Address
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Address Line | 2359 KNOLLWOOD AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44514-1525
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Country | US
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Telephone | 216-260-1405
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Fax | 330-632-8823
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2403807-TRNE
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | OH
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