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General NPI Number Information
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NPI Number | 1013906312
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Entity Type | Organization
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Legal Business Name | PHYSICIANS OF LONDON INC.
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 54 W HIGH ST SUITE B
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City | LONDON
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State | OH
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Zip | 43140-1075
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Country | US
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Telephone | 740-852-6000
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Fax | 740-852-7955
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Provider Business Mailing Address
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Address Line | 54 W HIGH ST SUITE B
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City | LONDON
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State | OH
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Zip | 43140-1075
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Country | US
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Telephone | 740-852-6000
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Fax | 740-852-7955
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MITCHELL SPAHN
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Credential | M.D.
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Telephone | 740-852-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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