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General NPI Number Information
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NPI Number | 1245139781
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Entity Type | Organization
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Legal Business Name | PARTNER MEDICAL, LLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1825 W 48TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-3417
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Country | US
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Telephone | 872-266-1306
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 N MARSHFIELD AVE APT 22
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City | CHICAGO
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State | IL
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Zip | 60622-2491
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Country | US
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Telephone | 216-534-5598
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | CHRISTOPHER MOAG
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Credential | PA-C
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Telephone | 216-534-5598
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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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