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General NPI Number Information
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NPI Number | 1427306414
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE FAMILY PRACTICE OF COLUMBIANA LLC
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Dates
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Enumeration Date | 08/22/2012
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 1026 WILLIAMS RESERVE BLVD
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City | WADSWORTH
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State | OH
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Zip | 44281-9317
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Country | US
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Telephone | 330-449-3300
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Fax | 330-449-3301
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Provider Business Mailing Address
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Address Line | 1026 WILLIAMS RESERVE BLVD
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City | WADSWORTH
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State | OH
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Zip | 44281-9317
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Country | US
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Telephone | 330-449-3300
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Fax | 330-449-3301
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Authorized Official
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Title or Position | OWNER
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Name | RHONDA KOCINSKI
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Credential | NP
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Telephone | 330-410-3688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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