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General NPI Number Information
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NPI Number | 1427386994
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Entity Type | Individual
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Provider Name | LACRESHA MARIE ROX PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2009
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 5001 MAYFIELD RD STE 112
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City | LYNDHURST
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State | OH
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Zip | 44124-2608
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Country | US
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Telephone | 216-372-0349
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 MAYFIELD RD STE 112
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City | LYNDHURST
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State | OH
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Zip | 44124-2608
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Country | US
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Telephone | 216-454-2570
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 202110895NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 019798
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License Number State | OH
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