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General NPI Number Information
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NPI Number | 1851608087
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Entity Type | Organization
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Legal Business Name | INDUSTRIAL HEALTH CONSULTANTS
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 5660 MONROE ST SUITE 7
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City | SYLVANIA
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State | OH
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Zip | 43560-2733
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Country | US
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Telephone | 888-921-9321
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Fax | 419-885-5414
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Provider Business Mailing Address
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Address Line | 5660 MONROE ST SUITE 7
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City | SYLVANIA
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State | OH
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Zip | 43560-2733
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Country | US
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Telephone | 888-921-9321
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Fax | 419-885-5414
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. SCOTT SHORT
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Credential | M.D.
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Telephone | 888-921-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 35078534S
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License Number State | OH
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