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General NPI Number Information
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NPI Number | 1073512273
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Entity Type | Individual
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Provider Name | ARKADY PETERMAN M.D,
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Gender | Male
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 27801 EUCLID AVE STE 100
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City | EUCLID
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State | OH
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Zip | 44132-3547
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Country | US
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Telephone | 440-840-5289
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Fax |
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Provider Business Mailing Address
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Address Line | 140 FOX HOLLOW DR APT 403
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City | CLEVELAND
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State | OH
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Zip | 44124-4173
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Country | US
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Telephone | 440-840-5289
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 235143
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.091234
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License Number State | OH
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