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General NPI Number Information
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NPI Number | 1619983442
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Entity Type | Organization
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Legal Business Name | PARMA FAMILY PRACTICE INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 6681 RIDGE RD STE 209
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City | PARMA
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State | OH
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Zip | 44129-5705
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Country | US
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Telephone | 440-845-6700
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Fax | 440-843-1831
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Provider Business Mailing Address
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Address Line | 6681 RIDGE RD STE 209
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City | PARMA
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State | OH
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Zip | 44129-5705
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Country | US
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Telephone | 440-845-6700
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Fax | 440-843-1831
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | DANIEL JOSEPH CHAGIN
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Credential | MD
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Telephone | 440-845-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 63947
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License Number State | OH
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