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General NPI Number Information
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NPI Number | 1083800932
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Entity Type | Organization
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Legal Business Name | JAMES N PANTELAKIS MD INC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 6615 CLINGAN RD SUITE A
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City | POLAND
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State | OH
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Zip | 44514-2196
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Country | US
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Telephone | 330-729-9910
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Fax | 330-318-6257
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Provider Business Mailing Address
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Address Line | 6615 CLINGAN RD SUITE A
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City | POLAND
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State | OH
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Zip | 44514-2196
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Country | US
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Telephone | 330-729-9910
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Fax | 330-318-6257
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES NICHOLAS PANTELAKIS
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Credential | M.D.
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Telephone | 330-729-9910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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