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General NPI Number Information
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NPI Number | 1376732636
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY OF AKRON, INC.
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 3939 S. CLEVELAND-MASSILLON RD
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City | NORTON
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State | OH
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Zip | 44203-5611
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Country | US
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Telephone | 330-535-3313
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Fax | 330-535-1907
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Provider Business Mailing Address
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Address Line | PO BOX 713056
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City | CINCINNATI
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State | OH
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Zip | 45271
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Country | US
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Telephone | 330-535-3313
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Fax | 330-535-1907
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MANZOOR QADIR
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Credential | M.D.
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Telephone | 330-535-3313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35-06-8779
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License Number State | OH
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