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General NPI Number Information
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NPI Number | 1780987842
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Entity Type | Individual
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Provider Name | INGA SHVARTSMAN CNP
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Gender | Female
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone | 330-212-2864
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Fax |
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Provider Business Mailing Address
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Address Line | 8185 WASHINGTON ST STE 2
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-4575
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Country | US
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Telephone | 440-708-1555
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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 | COA.11797-NP
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License Number State | OH
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