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NPI 1174519714

NPI 1174519714 : RONALD E. HOPKINS PA-C : UPPER ARLINGTON, OH

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General NPI Number Information
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    NPI Number           |    1174519714
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD E. HOPKINS PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/20/2005
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    Last Update Date     |    02/04/2008
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Provider Practice Location Address
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    Address Line         |    4605 SAWMILL RD 
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    City                 |    UPPER ARLINGTON
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    State                |    OH
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    Zip                  |    43220-2246
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    Country              |    US
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    Telephone            |    614-827-8700
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    Fax                  |    614-827-8701
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Provider Business Mailing Address
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    Address Line         |    4605 SAWMILL RD 
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    City                 |    UPPER ARLINGTON
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    State                |    OH
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    Zip                  |    43220-2246
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    Country              |    US
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    Telephone            |    614-827-8700
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    Fax                  |    614-827-8701
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    50-00-1258
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    License Number State |    OH
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