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General NPI Number Information
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NPI Number | 1851363824
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Entity Type | Individual
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Provider Name | PHILIPP DINES MD
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 12/07/2020
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 216-844-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 WARRENSVILLE CENTER ROAD 1ST FLOOR
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City | SHAKER HTS
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-286-6260
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Fax | 216-286-6341
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 35052584
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35 052584
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 35052584
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License Number State | OH
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