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General NPI Number Information
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NPI Number | 1952384307
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Entity Type | Individual
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Provider Name | NICHOLAS MATTHEW GARRITANO DO
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Gender | Male
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 3660 STARRS CENTRE DR SUITE 2
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City | CANFIELD
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State | OH
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Zip | 44406-8506
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Country | US
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Telephone | 440-366-5600
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Fax | 440-366-6766
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Provider Business Mailing Address
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Address Line | 3660 STARRS CENTRE DR SUITE 2
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City | CANFIELD
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State | OH
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Zip | 44406-8506
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Country | US
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Telephone | 330-702-1606
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Fax | 330-702-0160
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34004414
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License Number State | OH
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