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General NPI Number Information
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NPI Number | 1255549036
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Entity Type | Organization
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Legal Business Name | BARBERTON INFECTIOUS DISEASES, INC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1) 201 5TH ST NE STE 14, 2) BARBERTON CITIZENS HOSPITAL 3) REGENCY HOSPITAL OF AKRON
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City | BARBERTON
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State | OH
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Zip | 44203-3017
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Country | US
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Telephone | 330-615-4158
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Fax | 330-615-4157
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Provider Business Mailing Address
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Address Line | 201 5TH ST NE STE 14
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City | BARBERTON
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State | OH
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Zip | 44203-3017
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Country | US
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Telephone | 330-615-4158
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Fax | 330-615-4157
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUNSHI MOYENUDDIN
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Credential | M.D.
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Telephone | 330-615-4158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 01394369
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License Number State | OH
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