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General NPI Number Information
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NPI Number | 1235574500
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Entity Type | Organization
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Legal Business Name | SCOTT A HANNAN MD LLC
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Dates
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Enumeration Date | 05/01/2013
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 3477 COMMERCE PARKWAY SUITE A
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City | WOOSTER
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State | OH
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Zip | 44691-6109
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Country | US
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Telephone | 330-601-0999
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Fax | 330-601-0935
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Provider Business Mailing Address
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Address Line | 3477 COMMERCE PKWY SUITE A
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City | WOOSTER
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State | OH
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Zip | 44691-7126
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Country | US
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Telephone | 330-601-0999
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Fax | 330-601-0935
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. KIMBERLY I WILLIAMS
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Credential |
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Telephone | 330-601-0999
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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 | 35080332
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License Number State | OH
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