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General NPI Number Information
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NPI Number | 1699853812
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Entity Type | Organization
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Legal Business Name | CENTER OF GI ENDOSCOPY
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/12/2013
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Provider Practice Location Address
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Address Line | 34501 AURORA RD SUITE # 306
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City | SOLON
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State | OH
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Zip | 44139-3873
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Country | US
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Telephone | 440-498-0972
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Fax | 440-498-0978
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Provider Business Mailing Address
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Address Line | 34501 AURORA RD SUITE # 306
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City | SOLON
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State | OH
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Zip | 44139-3873
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Country | US
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Telephone | 440-498-0972
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Fax | 440-498-0978
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEVON SZYMANSKI
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Credential |
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Telephone | 440-498-0972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0709AS
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License Number State | OH
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