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General NPI Number Information
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NPI Number | 1689537318
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Entity Type | Individual
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Provider Name | MRS. ELENA LEAH SIMKHOVICH
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 2550 SOM CENTER RD # WH20
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9655
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Country | US
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Telephone | 440-943-2500
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Fax | 440-516-8316
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Provider Business Mailing Address
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Address Line | 2550 SOM CENTER RD # WH20
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094-9655
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Country | US
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Telephone | 444-943-2500
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Fax | 440-516-8316
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0040951
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License Number State | OH
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