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General NPI Number Information
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NPI Number | 1972799740
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Entity Type | Individual
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Provider Name | NANCY ELAINE AWENDER M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 75 ARCH ST STE. 204
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City | AKRON
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State | OH
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Zip | 44304-1429
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Country | US
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Telephone | 330-375-7657
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Fax | 330-375-7693
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Provider Business Mailing Address
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Address Line | 75 ARCH ST STE. 204
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City | AKRON
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State | OH
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Zip | 44304-1429
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Country | US
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Telephone | 330-375-7657
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Fax | 330-375-7693
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 090452
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License Number State | OH
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