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Organization
OHIO NP CARE LLC
Active
Organization
OHIO NP CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBA MAZDEH CNP (PRESIDENT)
(614) 889-7513
Entity
Organization
Contact information
Practice address
7081 TIMBERVIEW DR, DUBLIN, OH 43017-1017
(614) 889-7513
Mailing address
30701 LORAIN RD STE A, NORTH OLMSTED, OH 44070-6325
(440) 274-5000
(440) 716-8608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA11615NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA11615NP
STATE LICENSE
OH
Enumeration date
01/14/2016
Last updated
01/14/2016
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