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General NPI Number Information
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NPI Number | 1700184447
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Entity Type | Individual
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Provider Name | JAGANNATH DAS MD
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Gender | Male
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 1029 DOMINION DRIVE
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 440-835-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 DOMINION DRIVE
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 440-835-2686
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.041343
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License Number State | OH
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