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General NPI Number Information
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NPI Number | 1427350008
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PSYCHIATRY, INC.
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 833 BOARDMAN CANFIELD RD SUITE 105
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City | BOARDMAN
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State | OH
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Zip | 44512-4236
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Country | US
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Telephone | 330-758-9751
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Fax | 330-758-9771
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Provider Business Mailing Address
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Address Line | 833 BOARDMAN CANFIELD RD SUITE 105
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City | BOARDMAN
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State | OH
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Zip | 44512-4236
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Country | US
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Telephone | 330-758-9751
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Fax | 330-758-9771
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT M. ROERICH
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Credential | M.D.
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Telephone | 330-758-9751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-058747
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License Number State | OH
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