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General NPI Number Information
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NPI Number | 1740724061
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Entity Type | Individual
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Provider Name | ILDA ROSA CNP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2016
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-3108
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Country | US
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Telephone | 216-363-2292
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Fax | 216-736-7969
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Provider Business Mailing Address
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Address Line | 9125 BOUNDARY LN
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City | PARMA
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State | OH
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Zip | 44130-5201
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Country | US
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Telephone | 216-347-9731
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.020272
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License Number State | OH
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