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General NPI Number Information
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NPI Number | 1962452169
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Entity Type | Individual
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Provider Name | MARIA A. HUSSEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 5209 DETROIT AVE
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City | CLEVELAND
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State | OH
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Zip | 44102-2224
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Country | US
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Telephone | 216-651-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 5209 DETROIT AVE
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City | CLEVELAND
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State | OH
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Zip | 44102-2224
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Country | US
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Telephone | 216-651-2037
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 1042624
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 134450
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3001042
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3001042
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 00298
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License Number State | OH
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