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General NPI Number Information
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NPI Number | 1285282533
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Entity Type | Organization
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Legal Business Name | HELIX DERMATOLOGY AND SKIN SURGERY INSTITUTE LLC
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 24400 CHAGRIN BLVD STE 103
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City | BEACHWOOD
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State | OH
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Zip | 44122-5632
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Country | US
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Telephone | 440-804-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 37045 CHAGRIN BLVD
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City | MORELAND HILLS
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State | OH
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Zip | 44022-1238
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Country | US
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Telephone | 440-804-5996
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. OLGA DEMIDOVA
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Credential | DO
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Telephone | 216-794-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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