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General NPI Number Information
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NPI Number | 1922085737
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Entity Type | Individual
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Provider Name | JOSHUA SOL GADY M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 3292 STONES THROW AVE
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City | POLAND
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State | OH
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Zip | 44514-4213
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Country | US
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Telephone | 330-707-0771
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Fax |
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Provider Business Mailing Address
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Address Line | 5645 MISSION HILLS DR
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City | CANFIELD
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State | OH
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Zip | 44406-8219
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Country | US
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Telephone | 330-286-5333
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35082184
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License Number State | OH
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