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General NPI Number Information
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NPI Number | 1780800649
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF AKRON
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 PERKINS SQ
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City | AKRON
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State | OH
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Zip | 44308-1063
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Country | US
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Telephone | 330-543-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 BUCKINGHAM GATE BLVD
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44221-5337
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Country | US
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Telephone | 330-928-9926
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. RIRA KIM
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Credential | MD
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Telephone | 330-928-9926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 89568
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License Number State | OH
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