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General NPI Number Information
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NPI Number | 1013235027
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Entity Type | Individual
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Provider Name | SALLY ANN YOZIPOVICH RN, CNP
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Gender | Female
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 05/14/2010
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Provider Practice Location Address
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Address Line | 26900 CEDAR RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-1191
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Country | US
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Telephone | 216-839-3150
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Fax | 216-839-3195
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-839-3150
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Fax | 216-839-3195
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN126639/COA-NP-2302
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License Number State | OH
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