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General NPI Number Information
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NPI Number | 1538635347
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Entity Type | Organization
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Legal Business Name | NORTHERN OHIO MEDICAL SPECIALISTS, LLC
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 163 W MAIN ST
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City | ANDOVER
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State | OH
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Zip | 44003-9319
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Country | US
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Telephone | 440-293-6765
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Fax | 440-293-6879
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Provider Business Mailing Address
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Address Line | PO BOX 8372
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City | CAROL STREAM
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State | IL
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Zip | 60197-8372
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Country | US
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Telephone | 419-609-1112
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Fax | 419-609-1123
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Authorized Official
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Title or Position | CEO
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Name | RICHARD SCHNEIDER
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Credential |
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Telephone | 419-451-3869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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