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General NPI Number Information
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NPI Number | 1932209681
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Entity Type | Individual
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Provider Name | JOHN G. STERNEN PA
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Gender | Male
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 11/30/2011
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Provider Practice Location Address
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Address Line | 1000 AUBURN DR # 200
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City | BEACHWOOD
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State | OH
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Zip | 44122-4317
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Country | US
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Telephone | 440-285-5115
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Fax | 216-201-5316
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE THIRD FLOOR
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 216-285-5115
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Fax | 216-201-5316
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 50001071
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License Number State | OH
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