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General NPI Number Information
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NPI Number | 1457322992
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Entity Type | Organization
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Legal Business Name | NORTH OHIO HEART CENTER INC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 3600 KOLBE RD SUITE 127
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City | LORAIN
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State | OH
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Zip | 44053-1654
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Country | US
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Telephone | 440-204-4000
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Fax | 440-282-7579
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Provider Business Mailing Address
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Address Line | 1220 MOORE RD SUITE B
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City | AVON
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State | OH
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Zip | 44011-4044
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Country | US
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Telephone | 440-930-4446
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Fax | 440-934-0682
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. GARY EDWARD THOME
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Credential |
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Telephone | 440-930-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State | OH
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