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General NPI Number Information
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NPI Number | 1962628792
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Entity Type | Individual
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Provider Name | ELLEN COLEEN SPINNER MS, CNP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1835 E HIGH ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-5210
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Country | US
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Telephone | 937-328-0710
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Fax | 937-328-0711
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Provider Business Mailing Address
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Address Line | 7701 LONG POND RD
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City | MECHANICSBURG
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State | OH
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Zip | 43044-9002
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Country | US
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Telephone | 937-834-1710
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Fax | 937-834-1712
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP04620
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License Number State | OH
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