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General NPI Number Information
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NPI Number | 1467703637
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Entity Type | Organization
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Legal Business Name | WE CARE TWO PEDIATRICS, LLC
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Dates
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Enumeration Date | 09/27/2012
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 14100 CEDAR RD SUITE 270
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City | CLEVELAND
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State | OH
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Zip | 44121-3212
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Country | US
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Telephone | 216-382-0555
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Fax | 216-382-0726
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Provider Business Mailing Address
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Address Line | PO BOX 22958
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City | CLEVELAND
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State | OH
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Zip | 44122-0958
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Country | US
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Telephone | 216-595-9600
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Fax | 216-595-9601
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Authorized Official
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Title or Position | OWNER
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Name | AKARI TICHAVAKUNDA
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Credential | M.D.
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Telephone | 216-382-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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