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General NPI Number Information
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NPI Number | 1972629558
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Entity Type | Organization
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Legal Business Name | NORTH OHIO HEART CENTER, INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 960 CLAGUE RD SUITE 2300
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City | WESTLAKE
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State | OH
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Zip | 44145-1582
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Country | US
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Telephone | 440-250-2060
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Fax | 440-250-2061
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Provider Business Mailing Address
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Address Line | 1220 MOORE RD SUITE B
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City | AVON
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State | OH
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Zip | 44011-4044
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Country | US
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Telephone | 440-930-4444
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Fax | 440-934-0682
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Authorized Official
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Title or Position | CFO
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Name | GARY EDWARD THOME
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Credential |
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Telephone | 440-930-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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