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General NPI Number Information
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NPI Number | 1932492923
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Entity Type | Individual
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Provider Name | JENNIFER SUE HAIGIS APRN
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Gender | Female
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 7580 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45255-4221
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Country | US
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Telephone | 513-578-6093
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Fax | 513-578-6094
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Provider Business Mailing Address
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Address Line | 8 CADILLAC DR STE 250
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City | BRENTWOOD
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State | TN
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Zip | 37027-5087
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Country | US
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Telephone | 615-425-4200
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Fax | 615-425-4271
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.11963-NP
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License Number State | OH
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