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NPI 1467413500

NPI 1467413500 : SMITA HIMANSHU MAJMUDAR MD : WILLOWICK, OH

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General NPI Number Information
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    NPI Number           |    1467413500
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    Entity Type          |    Individual 
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    Provider Name        |    SMITA HIMANSHU MAJMUDAR MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/29/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    30498 LAKESHORE BLVD 
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    City                 |    WILLOWICK
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    State                |    OH
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    Zip                  |    44095-4623
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    Country              |    US
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    Telephone            |    440-585-3322
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    Fax                  |    440-585-1962
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Provider Business Mailing Address
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    Address Line         |    PO BOX 714110 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43271-4110
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    Country              |    US
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    Telephone            |    440-716-1283
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    Fax                  |    440-716-1605
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    35-050257
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    License Number State |    OH
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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       |    35-050257
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    License Number State |    OH
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