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General NPI Number Information
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NPI Number | 1477850402
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Entity Type | Individual
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Provider Name | JALPA ASHOK SHAH KOTHARI CNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE DESK J4-1
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-636-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE DESK J4-1
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 440-452-6191
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NP21764
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | COA11834-NP
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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 | COA11834-NP
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License Number State | OH
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