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General NPI Number Information
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NPI Number | 1871525055
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE CONSULTANTS OF NORTHWEST OHIO LTD
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 580 CRAIG DR STE 8
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City | PERRYSBURG
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State | OH
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Zip | 43551-1776
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Country | US
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Telephone | 419-861-5430
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Fax | 419-861-5430
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Provider Business Mailing Address
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Address Line | 580 CRAIG DR STE 8
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City | PERRYSBURG
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State | OH
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Zip | 43551-1776
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Country | US
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Telephone | 419-861-5430
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Fax | 419-861-5430
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT A ZIMMERMAN
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Credential | MD
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Telephone | 419-874-9096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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