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General NPI Number Information
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NPI Number | 1962171793
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Entity Type | Individual
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Provider Name | JANICA RENEE' WREN MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 4073 PLEASANT VALLEY
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City | CANFIELD
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State | OH
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Zip | 44406-2888
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Country | US
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Telephone | 216-647-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 3375 CANFIELD RD UNIT 2934
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City | YOUNGSTOWN
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State | OH
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Zip | 44511-2888
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Country | US
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Telephone | 216-647-1601
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0029513
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License Number State | OH
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