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General NPI Number Information
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NPI Number | 1588072854
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Entity Type | Organization
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Legal Business Name | KEY CLINICS LLC
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 269 PORTLAND WAY N LBBY NORTH LOBBY
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City | GALION
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State | OH
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Zip | 44833-2312
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Country | US
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Telephone | 419-775-9269
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Fax | 216-916-7779
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Provider Business Mailing Address
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Address Line | 1284 SOM CENTER ROAD STE 368
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2048
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Country | US
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Telephone | 419-775-9269
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Fax | 216-916-7779
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | JOEL D SIEGAL
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Credential | MD
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Telephone | 419-775-9269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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