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General NPI Number Information
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NPI Number | 1194084582
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Entity Type | Organization
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Legal Business Name | RALPH SIEGENTHALER INC
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Dates
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Enumeration Date | 05/07/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 5584 MAYFIELD RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2928
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Country | US
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Telephone | 440-442-6969
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Fax | 440-442-8312
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Provider Business Mailing Address
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Address Line | 5584 MAYFIELD RD
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City | LYNDHURST
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State | OH
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Zip | 44124-2928
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Country | US
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Telephone | 440-442-6969
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Fax | 440-442-8312
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK ALLEN ZANNETTI
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Credential | D.C.
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Telephone | 440-442-6969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1073
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License Number State | OH
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