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General NPI Number Information
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NPI Number | 1962641266
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Entity Type | Individual
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Provider Name | THERESA M. GIES RN/CPNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 9880 SOUTH MURRAY RIDGE ROAD LORAIN COUNTY GENERAL HEALTH DISTRICT
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City | ELYRIA
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State | OH
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Zip | 44035
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Country | US
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Telephone | 440-322-6367
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Fax | 440-322-0911
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Provider Business Mailing Address
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Address Line | 9880 SOUTH MURRAY RIDGE ROAD
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City | ELYRIA
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State | OH
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Zip | 44035
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Country | US
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Telephone | 440-322-6367
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Fax | 440-322-0911
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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 | CNCP# NP02032
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN# 122838
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License Number State | OH
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