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General NPI Number Information
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NPI Number | 1871706416
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Entity Type | Organization
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Legal Business Name | MARC SLOMOVITZ, DPM, CORP.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 12000 MCCRACKEN RD STE 355
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-2964
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Country | US
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Telephone | 216-475-5944
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Fax | 216-475-5960
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Provider Business Mailing Address
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Address Line | 12000 MCCRACKEN RD STE 355
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City | GARFIELD HEIGHTS
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State | OH
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Zip | 44125-2964
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Country | US
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Telephone | 216-475-5944
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Fax | 216-475-5960
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARC ALAN SLOMOVITZ
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Credential | DPM
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Telephone | 216-475-5944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 36-002542
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License Number State | OH
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