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General NPI Number Information
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NPI Number | 1376717751
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Entity Type | Individual
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Provider Name | ANTONIO RAMON CHAN LIGON MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 27600 CHAGRIN BLVD STE 360
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City | WOODMERE
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State | OH
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Zip | 44122-4498
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Country | US
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Telephone | 216-342-5795
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Fax | 216-342-5908
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Provider Business Mailing Address
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Address Line | 20455 LORAIN RD STE T-01
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-3494
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Country | US
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Telephone | 440-799-4224
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Fax | 440-799-4228
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35120822
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License Number State | OH
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