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General NPI Number Information
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NPI Number | 1376720623
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEALTH CARE SPECIALTIES, INC.
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 04/11/2012
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Provider Practice Location Address
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Address Line | 2113 TIFFIN AVE SUITE 101
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City | FINDLAY
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State | OH
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Zip | 45840-9504
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Country | US
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Telephone | 419-424-0100
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Fax | 419-424-1188
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Provider Business Mailing Address
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Address Line | 2113 TIFFIN AVE SUITE 101
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City | FINDLAY
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State | OH
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Zip | 45840-9504
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Country | US
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Telephone | 419-424-0100
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Fax | 419-424-1188
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Authorized Official
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Title or Position | OWNERR/PROPRIETOR
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Name | DR. GARY PETRO
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Credential | D.C.
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Telephone | 419-424-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 1080
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License Number State | OH
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