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General NPI Number Information
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NPI Number | 1689854051
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Entity Type | Organization
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Legal Business Name | ADVANCED PEM CARE
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 3577 N SHORE DR
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City | AKRON
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State | OH
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Zip | 44333-8331
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Country | US
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Telephone | 330-671-5793
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Fax |
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Provider Business Mailing Address
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Address Line | 3577 N SHORE DR
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City | AKRON
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State | OH
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Zip | 44333-8331
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Country | US
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Telephone | 330-671-5793
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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. ADARSH GUPTA
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Credential | MD
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Telephone | 330-671-5793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 1596118
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License Number State | OH
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