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General NPI Number Information
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NPI Number | 1447358445
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Entity Type | Organization
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Legal Business Name | AKRON PEDIATRIC SURGICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 LOCUST ST SUITE 560
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City | AKRON
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State | OH
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Zip | 44302-1809
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Country | US
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Telephone | 330-434-5341
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Fax | 330-434-1403
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Provider Business Mailing Address
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Address Line | 300 LOCUST ST SUITE 560
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City | AKRON
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State | OH
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Zip | 44302-1809
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Country | US
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Telephone | 330-434-5341
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Fax | 330-434-1403
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID A ANDREWS
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Credential | M.D.
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Telephone | 330-434-5341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 01295728
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License Number State | OH
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