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General NPI Number Information
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NPI Number | 1649338310
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Entity Type | Organization
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Legal Business Name | LOUIS MAGGIORE, MD INC.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 25100 EUCLID AVE SUITE 112
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City | EUCLID
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State | OH
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Zip | 44117-2648
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Country | US
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Telephone | 216-731-9215
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Fax | 216-731-5456
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Provider Business Mailing Address
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Address Line | 25100 EUCLID AVE SUITE 112
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City | EUCLID
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State | OH
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Zip | 44117-2648
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Country | US
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Telephone | 216-731-9215
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Fax | 216-731-5456
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Authorized Official
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Title or Position | CEO
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Name | TIMOTHY JOHN MORLEY
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Credential | MD
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Telephone | 216-731-9215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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