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General NPI Number Information
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NPI Number | 1881051720
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Entity Type | Individual
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Provider Name | BRITTANY DANIELLE MLAZOVSKY CNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 1001 LAKESIDE AVE E STE 1000
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City | CLEVELAND
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State | OH
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Zip | 44114-1162
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Country | US
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Telephone | 330-203-5020
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Fax | 844-558-8450
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Provider Business Mailing Address
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Address Line | 16929 PARKWOOD LN
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City | STRONGSVILLE
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State | OH
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Zip | 44149-5864
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Country | US
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Telephone | 330-221-5159
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | COA.18667-NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA.18667-NP
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License Number State | OH
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