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General NPI Number Information
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NPI Number | 1245902931
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Entity Type | Individual
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Provider Name | MARIANA ROKITSKA NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/30/2021
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 25501 CHAGRIN BLVD
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City | BEACHWOOD
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State | OH
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Zip | 44122-5603
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Country | US
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Telephone | 844-746-8537
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Fax |
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Provider Business Mailing Address
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Address Line | 9207 PLEASANT LAKE BLVD
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City | PARMA
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State | OH
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Zip | 44130-7623
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Country | US
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Telephone | 216-554-1900
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | APRN.CNP.0027895
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | RN.412936
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | APRN.CNP.0027895
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License Number State | OH
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