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General NPI Number Information
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NPI Number | 1124133483
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Entity Type | Individual
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Provider Name | DEBORAH LOUISE EWING-WILSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 8819 COMMONS BLVD
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City | TWINSBURG
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State | OH
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Zip | 44087-4101
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Country | US
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Telephone | 330-954-7233
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Fax | 216-201-4620
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Provider Business Mailing Address
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Address Line | 8819 COMMONS BLVD STE 200
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City | TWINSBURG
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State | OH
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Zip | 44087-4103
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Country | US
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Telephone | 330-954-7233
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Fax | 216-201-4620
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 34-003734
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License Number State | OH
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