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General NPI Number Information
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NPI Number | 1043012107
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Entity Type | Individual
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Provider Name | CARISSA COX
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 6780 MAYFIELD RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2294
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Country | US
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Telephone | 440-312-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 9885 WHITEWOOD RD
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City | BRECKSVILLE
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State | OH
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Zip | 44141-1674
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Country | US
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Telephone | 440-212-5379
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07250931
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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.464291
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License Number State | OH
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