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General NPI Number Information
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NPI Number | 1790755114
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Entity Type | Individual
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Provider Name | DONNA M ROSS CNS
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Gender | Female
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 14519 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4316
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Country | US
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Telephone | 216-529-8500
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Fax | 216-528-8505
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Provider Business Mailing Address
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Address Line | 14519 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-4316
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Country | US
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Telephone | 216-529-8500
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Fax | 216-528-8505
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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 | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number | NS-08553
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License Number State | OH
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