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General NPI Number Information
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NPI Number | 1023815230
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Entity Type | Organization
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Legal Business Name | MAGURA PSYCHIATRY AND MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5522 PEARL RD
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City | PARMA
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State | OH
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Zip | 44129-2527
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Country | US
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Telephone | 440-212-5862
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Fax | 440-325-3019
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Provider Business Mailing Address
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Address Line | 4527 LONGWOOD AVE
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City | PARMA
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State | OH
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Zip | 44134-3817
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Country | US
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Telephone | 440-212-5862
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Fax | 440-325-3019
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Authorized Official
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Title or Position | PMHNP
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Name | MR. ANDRIY V MAGURA
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Credential | APRN-CNP
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Telephone | 440-212-5862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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