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General NPI Number Information
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NPI Number | 1851286462
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Entity Type | Individual
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Provider Name | ASYA N. MIRAKOVA APRN, CNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 12395 MCCRACKEN RD
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City | GARFIELD HTS
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State | OH
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Zip | 44125-2967
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Country | US
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Telephone | 216-587-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 DARIEN LN
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City | TWINSBURG
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State | OH
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Zip | 44087-3236
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Country | US
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Telephone | 216-502-7427
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0039469
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License Number State | OH
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