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General NPI Number Information
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NPI Number | 1376642181
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Entity Type | Organization
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Legal Business Name | ANTHONY E. NUMRICH PSC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 227 N BARRON ST
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City | EATON
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State | OH
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Zip | 45320-1703
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Country | US
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Telephone | 937-472-0102
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Fax |
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Provider Business Mailing Address
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Address Line | 227 N BARRON ST
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City | EATON
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State | OH
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Zip | 45320-1703
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Country | US
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Telephone | 937-472-0102
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY E. NUMRICH
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Credential | DPM
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Telephone | 937-472-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 1962-OH
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License Number State | OH
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