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General NPI Number Information
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NPI Number | 1942684774
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Entity Type | Organization
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Legal Business Name | SIGNATURE PSYCHIATRY ASSOCIATES INC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 2820 W MARKET ST STE 110
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City | FAIRLAWN
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State | OH
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Zip | 44333-4043
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Country | US
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Telephone | 330-861-3541
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Fax |
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Provider Business Mailing Address
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Address Line | 2820 W MARKET ST STE 110
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City | FAIRLAWN
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State | OH
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Zip | 44333-4043
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Country | US
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Telephone | 330-861-3541
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANAND M CHATURVEDI
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Credential | MD
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Telephone | 330-861-3541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35077432
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License Number State | OH
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