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NPI Code Detail

MEDICARE: TERRY DORON TURK JR.

MEDICARE:   TERRY DORON TURK JR.
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
1101Y00000XCounselorOH

General Provider Information

NPI Number : 1639822091
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRY DORON TURK JR.
Provider Business Mailing Address
First Line : 503 E 200TH ST STE 103
Second Line :
City : EUCLID
State : OH
Zip : 44119-1562
Country : US
Telephone Number : 216-272-1083
Fax Number :
Provider Business Practice Location Address
First Line : 503 E 200TH ST STE 103
Second Line :
City : EUCLID
State : OH
Zip : 44119-1562
Country : US
Telephone Number : 216-272-1083
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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Directions to “ TERRY DORON TURK JR. ” Practice Location

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