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General NPI Number Information
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NPI Number | 1225291883
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Entity Type | Individual
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Provider Name | GEORGE EKENE ILODI DO
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Gender | Male
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 3239 STATE RD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-2549
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Country | US
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Telephone | 330-923-4500
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Fax | 330-634-1329
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Provider Business Mailing Address
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Address Line | 1640 CORPORATE WOODS CIR
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City | UNIONTOWN
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State | OH
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Zip | 44685-7819
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Country | US
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Telephone | 330-899-9350
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Fax | 330-899-9395
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34-009909
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License Number State | OH
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