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General NPI Number Information
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NPI Number | 1659364289
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Entity Type | Organization
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Legal Business Name | ANESTHESIA ASSOCIATES OF NORTHERN OHIO, INC.
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6125 S BROADWAY
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City | LORAIN
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State | OH
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Zip | 44053-3820
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Country | US
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Telephone | 440-233-8181
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Fax | 440-233-8182
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Provider Business Mailing Address
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Address Line | PO BOX 901681
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City | CLEVELAND
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State | OH
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Zip | 44190-0001
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Country | US
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Telephone | 440-233-8181
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Fax | 440-233-8182
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LOIS ANNE WULFHOOP
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Credential |
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Telephone | 440-233-8181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | OH
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