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General NPI Number Information
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NPI Number | 1841661758
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Entity Type | Organization
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Legal Business Name | MINORIK HEALTH AND WELLNESS CENTER INC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 2620 W MARKET ST
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City | AKRON
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State | OH
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Zip | 44313-4204
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Country | US
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Telephone | 330-869-6566
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Fax | 330-869-8066
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Provider Business Mailing Address
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Address Line | 2620 W MARKET ST
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City | AKRON
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State | OH
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Zip | 44313-4204
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Country | US
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Telephone | 330-869-6566
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Fax | 330-869-8066
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Authorized Official
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Title or Position | CEO
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Name | DR. GARY MINORIK
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Credential | DC
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Telephone | 330-607-8464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.007428
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License Number State | OH
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