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General NPI Number Information
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NPI Number | 1164526158
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Entity Type | Organization
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Legal Business Name | OHIO CHEST PHYSICIANS LTD
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 15805 PURITAS AVE
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City | CLEVELAND
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State | OH
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Zip | 44135-2611
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Country | US
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Telephone | 216-267-5933
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932085
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City | CLEVELAND
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State | OH
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Zip | 44193-0007
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Country | US
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Telephone | 888-328-4492
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | OLGA GORKAVCHUK
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Credential |
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Telephone | 216-267-5139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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