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General NPI Number Information
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NPI Number | 1346556172
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Entity Type | Organization
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Legal Business Name | DR GERALD A MIHOK INC
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Dates
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Enumeration Date | 08/31/2010
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 6911 BRIDGEWOOD DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-5102
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Country | US
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Telephone | 330-726-0318
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Fax | 330-726-1268
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Provider Business Mailing Address
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Address Line | 6911 BRIDGEWOOD DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-5102
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Country | US
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Telephone | 330-726-0318
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Fax | 330-726-1268
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | DR. GERALD A MIHOK
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Credential | D.O.
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Telephone | 330-726-0318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34-00-2405
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License Number State | OH
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