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General NPI Number Information
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NPI Number | 1487739678
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC ASSOCIATES OF NORTHERN OH
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 09/17/2009
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Provider Practice Location Address
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Address Line | 863 W AURORA RD SUITE A
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City | SAGAMORE HILLS
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State | OH
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Zip | 44067-1603
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Country | US
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Telephone | 216-367-1850
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Fax | 216-295-0670
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Provider Business Mailing Address
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Address Line | 3645 WARRENSVILLE CENTER RD SUITE 120
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City | SHAKER HTS
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State | OH
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Zip | 44122-5247
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Country | US
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Telephone | 216-367-1850
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Fax | 216-295-0670
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD R MASIN
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Credential | DO
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Telephone | 216-367-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | OH
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