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NPI Code Detail

MEDICARE: JAMES FAZEKAS

MEDICARE: JAMES FAZEKAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant04826OH

General Provider Information

NPI Number : 1477444651
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES FAZEKAS
Provider Business Mailing Address
First Line : 130 ONYX PL
Second Line :
City : CORTLAND
State : OH
Zip : 44410-1904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 N MECCA ST
Second Line :
City : CORTLAND
State : OH
Zip : 44410-1074
Country : US
Telephone Number : 330-638-2420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2025
Last Update Date : 07/14/2025

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Directions to “ JAMES FAZEKAS ” Practice Location

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