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General NPI Number Information
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NPI Number | 1518041565
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Entity Type | Individual
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Provider Name | ANDREW H. FENTON MD
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 400 WABASH AVE SUITE 335
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City | AKRON
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State | OH
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Zip | 44307-2433
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Country | US
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Telephone | 330-344-6500
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Fax | 330-434-6810
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Provider Business Mailing Address
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Address Line | 400 WABASH AVE SUITE 335
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City | AKRON
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State | OH
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Zip | 44307-2433
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Country | US
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Telephone | 330-344-6500
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Fax | 330-434-6810
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35.055898
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License Number State | OH
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