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General NPI Number Information
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NPI Number | 1952572190
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Entity Type | Organization
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Legal Business Name | FREDERICK L. CONTI
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Dates
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Enumeration Date | 03/16/2008
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 2660 W MARKET ST #101
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City | FAIRLAWN
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State | OH
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Zip | 44333-4206
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Country | US
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Telephone | 330-867-9303
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Fax | 330-867-9304
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Provider Business Mailing Address
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Address Line | 2660 W MARKET ST 101
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City | FAIRLAWN
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State | OH
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Zip | 44333-4206
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Country | US
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Telephone | 330-867-9303
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Fax | 330-867-9304
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Authorized Official
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Title or Position | OWNER
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Name | DR. FREDERICK L CONTI
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Credential | D.P.M.
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Telephone | 330-867-9303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 36-00-1577C
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License Number State | OH
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