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General NPI Number Information
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NPI Number | 1326566506
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Entity Type | Organization
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Legal Business Name | E J NEMET DPM LLC
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Dates
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Enumeration Date | 09/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9630 RAVENNA RD STE 300
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City | TWINSBURG
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State | OH
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Zip | 44087-6812
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Country | US
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Telephone | 216-288-8831
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Fax |
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Provider Business Mailing Address
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Address Line | 9630 RAVENNA RD STE 300
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City | TWINSBURG
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State | OH
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Zip | 44087-6812
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Country | US
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Telephone | 216-288-8831
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Fax |
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Authorized Official
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Title or Position | TAX ID OWNER
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Name | EDWARD J NEMET
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Credential | DPM
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Telephone | 216-288-8831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State | OH
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