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General NPI Number Information
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NPI Number | 1386490985
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Entity Type | Individual
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Provider Name | CHRISTINA BONA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 1491 SOM CENTER RD
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2101
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Country | US
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Telephone | 866-389-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 3031 ROYALWOOD RD
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-4101
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Country | US
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Telephone | 440-623-0577
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0036235
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.424390
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License Number State | OH
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