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NPI 1922619642

NPI 1922619642 : MRS. MICHELLE MARIE PLATZER : BEACHWOOD, OH

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General NPI Number Information
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    NPI Number           |    1922619642
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. MICHELLE MARIE PLATZER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/14/2020
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    Last Update Date     |    03/05/2026
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Provider Practice Location Address
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    Address Line         |    3700 PARK EAST DR STE 450 
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    City                 |    BEACHWOOD
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    State                |    OH
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    Zip                  |    44122-4318
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    Country              |    US
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    Telephone            |    866-849-0692
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3621 ARAMINGO AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19134-4607
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    Country              |    US
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    Telephone            |    215-444-7274
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    Fax                  |    215-979-6726
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    APRN.CNP.0041231
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    2026008662
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    License Number State |    MO
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    SP020787
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    License Number State |    PA
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