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General NPI Number Information
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NPI Number | 1053741496
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Entity Type | Organization
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Legal Business Name | SERHAT ERZURUM MD
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Dates
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Enumeration Date | 11/21/2013
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 8260 SOUTHERN BLVD APT 5
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-6315
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Country | US
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Telephone | 330-550-8785
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Fax |
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Provider Business Mailing Address
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Address Line | 8260 SOUTHERN BLVD APT 5
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-6315
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Country | US
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Telephone | 330-550-8785
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SERHAT IBRAHIM ERZURUM
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Credential | MD
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Telephone | 330-550-8785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.062569
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License Number State | OH
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