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General NPI Number Information
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NPI Number | 1841279122
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Entity Type | Individual
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Provider Name | BIJAY K. JAYASWAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 3457 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-9663
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Country | US
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Telephone | 330-721-2100
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Fax | 330-722-8142
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Provider Business Mailing Address
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Address Line | 1220 MOORE RD SUITE B
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City | AVON
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State | OH
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Zip | 44011-4044
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Country | US
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Telephone | 440-930-4446
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Fax | 440-934-0682
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35042133
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License Number State | OH
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