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General NPI Number Information
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NPI Number | 1205535697
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Entity Type | Organization
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Legal Business Name | TEREZ HEALTH, LLC
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 2132 CASE PKWY NORTH STE D
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City | TWINSBURG
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State | OH
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Zip | 44087-2383
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Country | US
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Telephone | 234-212-1162
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Fax |
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Provider Business Mailing Address
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Address Line | 2132 CASE PKWY NORTH STE D
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City | TWINSBURG
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State | OH
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Zip | 44087-2383
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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 | CEO/MEDICAL DIRECTOR
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Name | DR. OGE EZIMAKOR
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Credential | MD
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Telephone | 234-212-1162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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