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General NPI Number Information
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NPI Number | 1508383670
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Entity Type | Individual
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Provider Name | JUSTIN M ALBRIGHT PA-C
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Gender | Male
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-4424
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Country | US
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Telephone | 330-696-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 9851 CREEKSIDE WAY
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City | STREETSBORO
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State | OH
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Zip | 44241-6521
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Country | US
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Telephone | 330-696-0900
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Fax |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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