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General NPI Number Information
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NPI Number | 1023280211
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Entity Type | Organization
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Legal Business Name | JOSEPH A. GOLISH, MD, INC.
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 7676 REYNOLDS RD
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City | MENTOR
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State | OH
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Zip | 44060-5127
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Country | US
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Telephone | 440-918-7712
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Fax | 440-918-7714
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Provider Business Mailing Address
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Address Line | 28099 SHAKER BLVD
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City | PEPPER PIKE
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State | OH
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Zip | 44124-5003
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Country | US
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Telephone | 440-918-7712
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Fax | 440-918-7714
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH A. GOLISH
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Credential | MD
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Telephone | 440-918-7712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35-038013
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License Number State | OH
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