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General NPI Number Information
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NPI Number | 1780403691
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Entity Type | Organization
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Legal Business Name | MERIT DENTAL OF OHIO - NOUNEH, INC
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 19712 W 130TH ST
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City | STRONGSVILLE
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State | OH
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Zip | 44136-8435
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Country | US
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Telephone | 440-878-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 680 HEHLI WAY
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City | MONDOVI
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State | WI
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Zip | 54755-1639
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Country | US
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Telephone | 440-570-8547
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IMAD NOUNEH
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Credential |
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Telephone | 440-570-8547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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