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General NPI Number Information
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NPI Number | 1518968569
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Entity Type | Individual
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Provider Name | TAMYRA L MOUGINIS M.D., M.B.A.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 13500 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3400
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Country | US
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Telephone | 440-572-3733
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Fax |
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Provider Business Mailing Address
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Address Line | 13500 PEARL RD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-3400
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Country | US
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Telephone | 440-572-3733
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35058913
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-05-8913
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 35-058913
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License Number State | OH
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