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General NPI Number Information
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NPI Number | 1346216801
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Entity Type | Organization
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Legal Business Name | THE RETINA GROUP OF NORTHEAST OHIO INC
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 650 GRAHAM RD SUITE 103
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-1052
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Country | US
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Telephone | 330-434-1185
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Fax | 330-434-8533
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Provider Business Mailing Address
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Address Line | 650 GRAHAM RD SUITE 103
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-1052
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Country | US
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Telephone | 330-434-1185
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Fax | 330-434-8533
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TERESA L BECKETT
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Credential |
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Telephone | 330-434-1185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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