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General NPI Number Information
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NPI Number | 1922030378
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Entity Type | Individual
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Provider Name | JANET LYNN STRAKA MSN, APRN, BC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 14601 DETROIT AVE SUITE 480
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City | LAKEWOOD
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State | OH
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Zip | 44107-4214
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Country | US
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Telephone | 216-529-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 14601 DETROIT AVE SUITE 480
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City | LAKEWOOD
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State | OH
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Zip | 44107-4214
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Country | US
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Telephone | 216-529-7090
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN 161189
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License Number State | OH
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