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General NPI Number Information
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NPI Number | 1437726833
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Entity Type | Organization
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Legal Business Name | CAGEL MEDICAL LLC
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Dates
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Enumeration Date | 06/05/2021
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 301 W GROVE ST
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-2090
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Country | US
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Telephone | 570-319-1200
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Fax | 570-319-9792
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Provider Business Mailing Address
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Address Line | 301 W GROVE ST
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City | CLARKS SUMMIT
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State | PA
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Zip | 18411-2090
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Country | US
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Telephone | 570-319-1200
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Fax | 570-319-9792
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER OYEDE
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Credential | MD
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Telephone | 570-687-7866
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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 |
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License Number State |
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