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General NPI Number Information
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NPI Number | 1235465477
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Entity Type | Organization
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Legal Business Name | KENT MANAGEMENT GROUP
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 10/22/2009
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Provider Practice Location Address
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Address Line | 195 WADSWORTH RD SUITE G
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City | WADSWORTH
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State | OH
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Zip | 44281-9504
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Country | US
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Telephone | 330-929-2694
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Fax | 330-929-2782
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Provider Business Mailing Address
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Address Line | 999 N MAIN ST
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City | AKRON
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State | OH
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Zip | 44310-1456
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Country | US
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Telephone | 330-929-2694
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Fax | 330-929-2782
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ROBERT A KENT JR.
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Credential | DO
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Telephone | 330-929-2685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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