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General NPI Number Information
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NPI Number | 1912445420
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Entity Type | Individual
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Provider Name | ROXANNE MADILL MSN, BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE M8 ANNEX
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-1472
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Fax | 216-445-1767
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Provider Business Mailing Address
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Address Line | 9500 EUCLID AVE M8 ANNEX
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City | CLEVELAND
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State | OH
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Zip | 44195-0001
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Country | US
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Telephone | 216-445-1472
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Fax | 216-445-1767
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN.375407
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License Number State | OH
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