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NPI 1144221649

NPI 1144221649 : LISA ONESKO CNP : GARFIELD HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1144221649
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    Entity Type          |    Individual 
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    Provider Name        |    LISA ONESKO CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2005
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    Last Update Date     |    11/29/2018
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Provider Practice Location Address
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    Address Line         |    12000 MCCRACKEN RD SUITE 550
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    City                 |    GARFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44125-2964
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    Country              |    US
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    Telephone            |    216-581-2580
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    Fax                  |    216-663-0666
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Provider Business Mailing Address
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    Address Line         |    12000 MCCRACKEN RD SUITE 550
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    City                 |    GARFIELD HTS
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    State                |    OH
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    Zip                  |    44125-2964
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    Country              |    US
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    Telephone            |    216-581-2580
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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        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    NP07178
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    License Number State |    OH
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