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General NPI Number Information
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NPI Number | 1922986165
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Entity Type | Individual
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Provider Name | MS. MEMORY MAREYA
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 23366 COMMERCE PARK
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City | BEACHWOOD
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State | OH
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Zip | 44122-5850
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Country | US
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Telephone | 221-292-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 23366 COMMERCE PARK STE 100B
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City | BEACHWOOD
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State | OH
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Zip | 44122-5801
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Country | US
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Telephone | 216-292-2880
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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 | 2025025657
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License Number State | OH
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