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General NPI Number Information
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NPI Number | 1124662960
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Entity Type | Individual
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Provider Name | NESREEN GHAZI JAWHARI PNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2019
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 14701 DETROIT AVE STE 250
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City | LAKEWOOD
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State | OH
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Zip | 44107-4109
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Country | US
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Telephone | 216-221-5901
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Fax |
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Provider Business Mailing Address
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Address Line | 7918 PINEGROVE AVE
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City | PARMA
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State | OH
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Zip | 44129-2102
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Country | US
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Telephone | 440-334-3901
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | CNP.025120
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License Number State | OH
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