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General NPI Number Information
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NPI Number | 1336970961
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Entity Type | Individual
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Provider Name | ARIANE LOVELLE MONTE RADOSEVIC NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 75 ARCH ST STE G2
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City | AKRON
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State | OH
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Zip | 44304-1430
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Country | US
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Telephone | 330-375-6195
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Fax |
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Provider Business Mailing Address
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Address Line | 75 ARCH ST STE G2
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City | AKRON
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State | OH
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Zip | 44304-1430
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Country | US
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Telephone | 330-375-6195
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN.CNP.0042438
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 95041285
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95085298
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 448505
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License Number State | OH
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