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General NPI Number Information
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NPI Number | 1376259168
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Entity Type | Individual
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Provider Name | ASTGIK AMBARTSUMIAN TAYLOR QMHS-B, RN
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 23900 COMMERCE PARK
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City | BEACHWOOD
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State | OH
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Zip | 44122-5822
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Country | US
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Telephone | 440-753-6030
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Fax | 440-232-3801
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Provider Business Mailing Address
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Address Line | 23900 COMMERCE PARK
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City | BEACHWOOD
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State | OH
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Zip | 44122-5822
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Country | US
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Telephone | 440-753-6030
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Fax | 440-232-3801
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.476306
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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 | APRN.CNP.0042839
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.0042839
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.0042839
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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