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General NPI Number Information
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NPI Number | 1043425028
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Entity Type | Individual
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Provider Name | ERGUN KOCAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 1329 CHERRY WAY DR STE 700
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City | GAHANNA
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State | OH
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Zip | 43230-6799
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Country | US
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Telephone | 855-687-6227
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Fax | 855-687-6227
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Provider Business Mailing Address
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Address Line | 1329 CHERRY WAY DR SUITE 700
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City | GAHANNA
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State | OH
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Zip | 43230-6777
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Country | US
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Telephone | 855-687-6227
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Fax | 855-687-6227
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 35082334
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35082334
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License Number State | OH
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