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General NPI Number Information
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NPI Number | 1942168356
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Entity Type | Organization
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Legal Business Name | ACCESS HEALTHCARE CLINIC LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 9701 BROOKPARK RD STE 234
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City | PARMA
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State | OH
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Zip | 44129-6824
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Country | US
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Telephone | 216-300-9645
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 770204
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City | LAKEWOOD
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State | OH
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Zip | 44107-0017
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Country | US
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Telephone | 216-300-9645
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | NURAT ADIGUN
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Credential | APRN
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Telephone | 440-494-4914
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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 |
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License Number State |
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