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General NPI Number Information
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NPI Number | 1225212707
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Entity Type | Organization
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Legal Business Name | PARTNERS PHYSICIAN GROUP
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Dates
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Enumeration Date | 12/20/2007
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 2603 W MARKET ST
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City | AKRON
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State | OH
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Zip | 44313-4208
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Country | US
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Telephone | 330-873-9700
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Fax | 330-873-9702
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Provider Business Mailing Address
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Address Line | 2603 W MARKET ST
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City | AKRON
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State | OH
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Zip | 44313-4208
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Country | US
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Telephone | 330-873-9700
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Fax | 330-873-9702
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Authorized Official
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Title or Position | DIRECTOR FINANCE BUSINESS OPERATION
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Name | DANIEL TAILLARD
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Credential |
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Telephone | 330-344-6095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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