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General NPI Number Information
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NPI Number | 1588050223
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Entity Type | Organization
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Legal Business Name | STARLIGHT NP LLC
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 915 BASSETT RD
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City | WESTLAKE
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State | OH
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Zip | 44145-1108
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Country | US
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Telephone | 440-462-2600
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Fax | 440-250-8670
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Provider Business Mailing Address
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Address Line | 915 BASSETT RD
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City | WESTLAKE
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State | OH
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Zip | 44145-1108
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Country | US
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Telephone | 440-462-2600
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Fax | 440-250-8670
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | SUSAN GRIFFITHS
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Credential | LNHA
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Telephone | 440-462-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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