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General NPI Number Information
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NPI Number | 1144692351
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Entity Type | Organization
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Legal Business Name | STRONGSVILLE ORTHODONTICS
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 13022 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3442
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Country | US
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Telephone | 440-238-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 13022 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3442
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Country | US
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Telephone | 440-238-0770
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. NAEEMAH LEWIS
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Credential | D.D.S.
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Telephone | 216-297-9835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 30.023142
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License Number State | OH
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