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General NPI Number Information
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NPI Number | 1396260899
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Entity Type | Organization
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Legal Business Name | N ROSLOVIC INC
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Dates
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Enumeration Date | 08/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1480 CAMBRIDGE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43212-2712
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Country | US
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Telephone | 614-397-4736
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 CAMBRIDGE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43212-2712
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Country | US
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Telephone | 614-397-4736
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NINA FRANCES ROSLOVIC
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Credential | CNP
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Telephone | 614-397-4736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.13874
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License Number State | OH
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