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General NPI Number Information
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NPI Number | 1477519239
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Entity Type | Individual
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Provider Name | MICHAEL J CULLADO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 550 E MARKET ST SUITE 103
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City | AKRON
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State | OH
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Zip | 44304-1613
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Country | US
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Telephone | 330-434-5978
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Fax | 330-434-6908
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Provider Business Mailing Address
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Address Line | 525 E MARKET ST PO BOX 2090
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City | AKRON
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State | OH
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Zip | 44304-1619
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Country | US
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Telephone | 330-996-0347
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Fax | 330-996-8695
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 35-055832
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License Number State | OH
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