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General NPI Number Information
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NPI Number | 1063583706
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Entity Type | Individual
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Provider Name | MARCUS A BARATIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 9480 ROSEMONT DR STE 200
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City | STREETSBORO
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State | OH
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Zip | 44241-4569
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Country | US
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Telephone | 330-626-9900
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Fax | 330-626-8048
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE THIRD FLOOR - BILLING SERVICES
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 330-626-9900
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Fax | 330-626-8048
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35076745
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License Number State | OH
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