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General NPI Number Information
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NPI Number | 1609482520
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Entity Type | Individual
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Provider Name | DAVID ALAN CENTA
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Gender | Male
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 10372 FOX HOLLOW CIR
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City | TWINSBURG
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State | OH
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Zip | 44087-1896
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Country | US
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Telephone | 330-998-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 871 CARRIAGE PARK OVAL
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City | WESTLAKE
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State | OH
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Zip | 44145-1459
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Country | US
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Telephone | 440-488-2283
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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