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General NPI Number Information
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NPI Number | 1659468874
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Entity Type | Organization
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Legal Business Name | OHIO HEAD AND NECK SURGEONS, INC
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 4912 HIGBEE AVE NW SUITE 200
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City | CANTON
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State | OH
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Zip | 44718-2530
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Country | US
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Telephone | 330-492-2844
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Fax |
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Provider Business Mailing Address
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Address Line | 4912 HIGBEE AVE NW SUITE 200
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City | CANTON
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State | OH
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Zip | 44718-2530
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Country | US
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Telephone | 330-492-2844
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. STEVEN J OSSAKOW
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Credential | MD
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Telephone | 330-492-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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