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General NPI Number Information
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NPI Number | 1184345472
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Entity Type | Individual
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Provider Name | ROBYN LANE MANGAS PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 15054 E US ROUTE 224
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City | FINDLAY
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State | OH
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Zip | 45840-9794
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Country | US
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Telephone | 419-427-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 9185 ROAD P7
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City | COLUMBUS GROVE
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State | OH
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Zip | 45830-9739
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Country | US
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Telephone | 567-204-3361
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.007712
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License Number State | OH
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