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General NPI Number Information
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NPI Number | 1154093383
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Entity Type | Organization
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Legal Business Name | CROSS MY HEART WELLNESS
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 11925 PEARL RD STE 402
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3343
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Country | US
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Telephone | 216-409-8892
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Fax |
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Provider Business Mailing Address
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Address Line | 13658 COMPASS POINT DR
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City | STRONGSVILLE
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State | OH
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Zip | 44136-8059
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Country | US
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Telephone | 440-454-6203
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING/BILLING ADMIN
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Name | MICHELLE BONE
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Credential |
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Telephone | 706-409-3072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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