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General NPI Number Information
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NPI Number | 1831002591
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Entity Type | Individual
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Provider Name | SELVIA KOLTA
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Gender | Female
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 11201 SHAKER BLVD STE 126
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City | CLEVELAND
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State | OH
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Zip | 44104-3833
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Country | US
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Telephone | 216-795-4000
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Fax | 216-795-4001
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Provider Business Mailing Address
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Address Line | 770 MADISON AVE
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City | AURORA
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State | OH
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Zip | 44202-5612
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Country | US
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Telephone | 937-825-3997
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Fax | 216-795-4001
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03332673
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License Number State | OH
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