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General NPI Number Information
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NPI Number | 1306294947
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Entity Type | Organization
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Legal Business Name | BRIAN R. CAIN, M.D. AND ASSOCIATES
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 09/17/2020
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Provider Practice Location Address
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Address Line | 754 S CLEVELAND AVE STE 300
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City | MOGADORE
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State | OH
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Zip | 44260-2210
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Country | US
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Telephone | 330-877-3008
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Fax | 330-877-3032
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Provider Business Mailing Address
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Address Line | 500 N PROSPECT AVE
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City | HARTVILLE
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State | OH
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Zip | 44632-9318
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Country | US
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Telephone | 330-877-3008
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Fax | 330-877-3032
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN R. CAIN
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Credential | M.D.
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Telephone | 330-351-2873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 35061748
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License Number State | OH
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