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General NPI Number Information
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NPI Number | 1659540011
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Entity Type | Organization
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Legal Business Name | MONO MEDICAL CARE, INC.
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 30285 BRUCE INDUSTRIAL PKWY SUITE C
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City | SOLON
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State | OH
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Zip | 44139-3900
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Country | US
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Telephone | 440-542-1850
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Fax |
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Provider Business Mailing Address
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Address Line | 30285 BRUCE INDUSTRIAL PKWY SUITE C
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City | SOLON
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State | OH
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Zip | 44139-3900
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Country | US
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Telephone | 440-542-1850
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUHAMMAD N MOMEN
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Credential | M.D.
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Telephone | 440-542-1850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.083747
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.081615
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License Number State | OH
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