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General NPI Number Information
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NPI Number | 1033250360
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Entity Type | Organization
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Legal Business Name | NORTHWEST PRIMARY CARE, INC
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 455 W MCPHERSON HWY
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City | CLYDE
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State | OH
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Zip | 43410-1132
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Country | US
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Telephone | 419-541-8555
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Fax | 419-547-9119
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Provider Business Mailing Address
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Address Line | 455 W MCPHERSON HWY
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City | CLYDE
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State | OH
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Zip | 43410-1132
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Country | US
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Telephone | 419-541-8555
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Fax | 419-547-9119
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN LEONARD YUHAS
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Credential | D.O.
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Telephone | 419-547-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4931
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License Number State | OH
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