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General NPI Number Information
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NPI Number | 1043390271
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Entity Type | Organization
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Legal Business Name | ROBERT LITTLEJOHN MD
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 180 1ST ST NW SUITE 5
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City | BARBERTON
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State | OH
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Zip | 44203
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Country | US
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Telephone | 330-745-8766
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Fax | 330-745-9837
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Provider Business Mailing Address
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Address Line | 180 1ST ST NW SUITE 5
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City | BARBERTON
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State | OH
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Zip | 44203
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Country | US
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Telephone | 330-745-8766
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Fax | 330-745-9837
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT LITTLEJOHN
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Credential | MD
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Telephone | 330-745-8766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35024053
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License Number State | OH
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