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General NPI Number Information
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NPI Number | 1306874482
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Entity Type | Organization
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Legal Business Name | CARDIOTHORACIC SURGEONS FOR NW OHIO, INC.
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 2109 HUGHES DR STE 720
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City | TOLEDO
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State | OH
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Zip | 43606-5110
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Country | US
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Telephone | 419-291-2077
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Fax | 419-291-2122
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Provider Business Mailing Address
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Address Line | 2109 HUGHES DR STE 720
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City | TOLEDO
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State | OH
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Zip | 43606-5110
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Country | US
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Telephone | 419-291-2077
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Fax | 419-291-2122
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. KATHYRN ANN STULL
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Credential |
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Telephone | 419-291-2077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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