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General NPI Number Information
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NPI Number | 1134175078
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Entity Type | Organization
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Legal Business Name | HUDSON PHYSICIANS ASSOC INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 155 5TH ST NE
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City | BARBERTON
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State | OH
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Zip | 44203-3332
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Country | US
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Telephone | 330-745-1611
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Fax | 330-848-7795
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Provider Business Mailing Address
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Address Line | PO BOX 74382
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City | CLEVELAND
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State | OH
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Zip | 44194-0002
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Country | US
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Telephone | 614-430-5727
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES D CANTONI
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Credential | MD
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Telephone | 330-745-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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