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General NPI Number Information
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NPI Number | 1225086127
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE CENTER, INC.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | FAMILY MEDICINE CENTER, INC. 11709 LORAIN
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-671-5006
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Fax | 216-671-5004
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Provider Business Mailing Address
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Address Line | FAMILY MEDICINE CENTER, INC. 11709 LORAIN
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-671-5006
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Fax | 216-671-5004
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN MARK ZANGMEISTER
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Credential | M.D.
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Telephone | 216-671-5006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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