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General NPI Number Information
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NPI Number | 1174851554
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Entity Type | Organization
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Legal Business Name | NORTHCOAST ANESTHESIA PROVIDERS
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 29000 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-5293
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Country | US
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Telephone | 440-827-5148
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 385
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City | AURORA
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State | OH
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Zip | 44202-0385
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ANESTHESIOLOGIST
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Name | DR. JAMES PUJOLAS
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Credential | D.O.
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Telephone | 216-224-4907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 67.000162
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License Number State | OH
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