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General NPI Number Information
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NPI Number | 1760727499
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Entity Type | Organization
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Legal Business Name | OCCUCENTERS EAST SIDE
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 4450 SAINT CLAIR AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-1126
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Country | US
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Telephone | 216-431-0927
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Fax | 216-431-6333
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Provider Business Mailing Address
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Address Line | 4450 ST. CLAIR AVE.
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City | CLEVELAND
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State | OH
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Zip | 44103
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Country | US
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Telephone | 216-431-0927
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Fax | 216-431-6333
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Authorized Official
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Title or Position | OWNER
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Name | MR. DENNIS A. FRINZL
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Credential | PA-C
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Telephone | 216-431-0927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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