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General NPI Number Information
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NPI Number | 1144595745
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Entity Type | Organization
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Legal Business Name | TUSCARAWAS COUNTY OB-GYN INC.
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 10/03/2012
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Provider Practice Location Address
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Address Line | 200 MEDICAL PARK DR SUITE B
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City | DOVER
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State | OH
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Zip | 44622-2074
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Country | US
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Telephone | 330-343-0890
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Fax | 330-343-0914
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Provider Business Mailing Address
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Address Line | 200 MEDICAL PARK DR SUITE B
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City | DOVER
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State | OH
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Zip | 44622-2074
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Country | US
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Telephone | 330-343-0890
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Fax | 330-343-0914
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARCEL N NWIZU
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Credential | MD
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Telephone | 330-343-0890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 35-06-2669
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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