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General NPI Number Information
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NPI Number | 1710062013
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Entity Type | Organization
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Legal Business Name | AKRON PEDIATRIC OPHTHALMOLOGY AND OPHTHALMIC PLASTIC SURGERY, INC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 05/09/2019
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Provider Practice Location Address
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Address Line | 215 WEST BOWERY ST LEVEL II
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City | AKRON
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State | OH
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Zip | 44308-1062
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Country | US
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Telephone | 330-535-8000
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Fax | 330-553-2121
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Provider Business Mailing Address
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Address Line | 215 WEST BOWERY ST LEVEL II
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City | AKRON
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State | OH
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Zip | 44308-1062
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Country | US
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Telephone | 330-535-8000
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Fax | 330-553-2121
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT ALAN BURNSTINE
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Credential | MD
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Telephone | 330-535-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35035797
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License Number State | OH
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