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General NPI Number Information
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NPI Number | 1073684403
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Entity Type | Organization
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Legal Business Name | PRITI NAIR, M.D., INC.
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 1991 CROCKER RD TWR 1 STE 600
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 440-610-7104
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Fax | 440-306-5566
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Provider Business Mailing Address
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Address Line | 19645 PROGRESS DR
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City | STRONGSVILLE
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State | OH
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Zip | 44149-3205
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Country | US
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Telephone | 440-234-8833
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Fax | 440-234-3313
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Authorized Official
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Title or Position | OWNER-PROVIDER
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Name | PRITI NAIR
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Credential | M.D.
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Telephone | 440-610-7104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35073559
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License Number State | OH
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