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General NPI Number Information
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NPI Number | 1215060587
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Entity Type | Organization
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Legal Business Name | W KEVIN LONSDORF MD INC AND ALBERT A FELTRUP JR MD INC
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 2818 S ARLINGTON RD
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City | AKRON
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State | OH
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Zip | 44312-4716
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Country | US
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Telephone | 330-645-0153
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Fax | 330-645-1524
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Provider Business Mailing Address
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Address Line | 2818 S ARLINGTON RD
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City | AKRON
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State | OH
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Zip | 44312-4716
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Country | US
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Telephone | 330-645-0153
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Fax | 330-645-1524
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. DIANE K. WHETSELL
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Credential |
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Telephone | 330-645-0153
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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 | 0459803
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License Number State | OH
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