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General NPI Number Information
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NPI Number | 1982972329
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Entity Type | Individual
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Provider Name | ELIZABETH ANN MCMONAGLE PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 35900 EUCLID AVE
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City | WILLOUGHBY
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State | OH
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Zip | 44094
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Country | US
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Telephone | 440-953-3329
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Fax | 440-602-3938
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Provider Business Mailing Address
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Address Line | 11471 SPRING RD
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City | CHESTERLAND
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State | OH
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Zip | 44026
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Country | US
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Telephone | 440-729-3837
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50-00-0509
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License Number State | OH
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