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General NPI Number Information
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NPI Number | 1447125141
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Entity Type | Individual
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Provider Name | MONICA COLLINS-JILEK
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 15617 GLENWOOD AVE
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City | MAPLE HEIGHTS
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State | OH
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Zip | 44137-3707
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Country | US
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Telephone | 216-415-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 15617 GLENWOOD AVE
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City | MAPLE HEIGHTS
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State | OH
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Zip | 44137-3707
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Country | US
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Telephone | 216-415-0626
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | RQ908203
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 7223107073MC
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | B3X2K4ES
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License Number State | OH
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