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General NPI Number Information
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NPI Number | 1144345703
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Entity Type | Individual
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Provider Name | JONATHAN W SIRKIN MD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24200 CHAGRIN BLVD THE OFFICE PLACE
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City | BEACHWOOD
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State | OH
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Zip | 44122-5550
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Country | US
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Telephone | 216-283-7690
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Fax | 216-766-6084
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Provider Business Mailing Address
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Address Line | 24200 CHAGRIN BLVD THE OFFICE PLACE
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City | BEACHWOOD
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State | OH
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Zip | 44122-5550
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Country | US
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Telephone | 216-283-7690
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Fax | 216-766-6084
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 35081523
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License Number State | OH
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