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General NPI Number Information
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NPI Number | 1306103270
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Entity Type | Organization
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Legal Business Name | PARTNERS PHYSICIAN GROUP
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Dates
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Enumeration Date | 04/17/2012
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 4125 MEDINA RD #201
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City | AKRON
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State | OH
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Zip | 44333-2483
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Country | US
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Telephone | 330-344-4263
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Fax | 330-945-3187
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Provider Business Mailing Address
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Address Line | 4125 MEDINA RD #201
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City | AKRON
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State | OH
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Zip | 44333-2483
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Country | US
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Telephone | 330-344-4263
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Fax | 330-945-3187
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Authorized Official
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Title or Position | VP, FINANCE
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Name | DANIEL TAILLARD
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Credential |
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Telephone | 330-344-6095
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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 | OH
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State | OH
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