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General NPI Number Information
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NPI Number | 1922447929
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Entity Type | Individual
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Provider Name | MARGARET M ANTENUCCI APRN
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Gender | Female
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Dates
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Enumeration Date | 06/24/2013
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3569 RIDGE RD
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City | CLEVELAND
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State | OH
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Zip | 44102-5443
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Country | US
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Telephone | 216-281-0872
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Fax | 216-281-9721
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Provider Business Mailing Address
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Address Line | 150 BUFFALO BAY
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City | MADISON
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State | CT
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Zip | 06443-2773
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Country | US
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Telephone | 203-245-9180
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 99999
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License Number State | CT
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