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General NPI Number Information
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NPI Number | 1902072879
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Entity Type | Organization
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Legal Business Name | MOUNT CARMEL HEALTH PROVIDERS TWO LLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 4930 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43228-1696
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Country | US
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Telephone | 614-870-1234
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Fax | 614-870-3199
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Provider Business Mailing Address
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Address Line | PO BOX 951144
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City | CLEVELAND
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State | OH
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Zip | 44193-0005
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Country | US
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Telephone | 614-546-4400
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Fax | 614-546-4441
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Authorized Official
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Title or Position | COO
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Name | PAUL C SCHUTTE
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Credential |
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Telephone | 614-546-4424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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