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General NPI Number Information
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NPI Number | 1023565439
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Entity Type | Organization
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Legal Business Name | ZANESVILLE NEUROLOGY
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 211 DOWNING DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-4613
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Country | US
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Telephone | 740-588-3864
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 BELL ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1804
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/NP
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Name | CARRIE ANDREWS
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Credential | NP
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Telephone | 740-588-3864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | COA 07891-NP
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License Number State | OH
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