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General NPI Number Information
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NPI Number | 1417028556
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Entity Type | Individual
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Provider Name | AVIV BEN-MEIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/12/2006
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 36100 EUCLID AVE STE 170
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4475
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Country | US
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Telephone | 440-602-6737
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Fax | 440-942-0316
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Provider Business Mailing Address
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Address Line | 7590 AUBURN ROAD SUITE 014
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City | CONCORD TWP
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State | OH
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Zip | 44077-9176
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Country | US
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Telephone | 440-354-1899
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Fax | 440-354-1845
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35073480B
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License Number State | OH
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