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General NPI Number Information
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NPI Number | 1033535018
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Entity Type | Individual
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Provider Name | JOTA NAKANO M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-3197
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Country | US
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Telephone | 216-444-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E HURON ST SUITE 11-140
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City | CHICAGO
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State | IL
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Zip | 60611
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Country | US
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Telephone | 312-695-3662
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 0011606
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 036.140875
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35.147790
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License Number State | OH
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