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General NPI Number Information
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NPI Number | 1902285943
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Entity Type | Organization
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Legal Business Name | OHIO MEDICAL SPECIALISTS, LLC
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Dates
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Enumeration Date | 05/22/2015
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 1950 NILES CORTLAND RD NE WEXFORD CENTER UNIT 10
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City | WARREN
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State | OH
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Zip | 44484-1077
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Country | US
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Telephone | 508-410-2586
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Fax |
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Provider Business Mailing Address
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Address Line | 22901 HALBURTON RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-3962
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Country | US
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Telephone | 508-410-2586
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MORGAN HOTT
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Credential | M.D.
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Telephone | 508-410-2586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 35.099878
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License Number State | OH
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