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General NPI Number Information
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NPI Number | 1982904462
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Entity Type | Individual
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Provider Name | JULIANNA HIRSCH LPN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 06/06/2017
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Provider Practice Location Address
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Address Line | 3921 CORNSTALK RD
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City | WAYNESVILLE
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State | OH
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Zip | 45068-8959
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Country | US
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Telephone | 937-673-8887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126
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City | SPRING VALLEY
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State | OH
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Zip | 45370-0126
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Country | US
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Telephone | 937-673-8887
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN.142419-M-IV
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License Number State | OH
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