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General NPI Number Information
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NPI Number | 1043554801
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Entity Type | Organization
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Legal Business Name | EASTWOOD MEDICAL CENTER INC
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 1055 NILES CORTLAND RD SE
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City | WARREN
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State | OH
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Zip | 44484-2540
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Country | US
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Telephone | 330-856-9333
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Fax | 330-856-9382
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Provider Business Mailing Address
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Address Line | 1055 NILES CORTLAND RD SE
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City | WARREN
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State | OH
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Zip | 44484-2540
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Country | US
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Telephone | 330-856-9333
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Fax | 330-856-9382
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | JAMES MORGENSTERN
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Credential | DC
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Telephone | 330-856-9333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC.863
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License Number State | OH
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