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General NPI Number Information
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NPI Number | 1306322029
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Entity Type | Organization
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Legal Business Name | NORTHEAST OHIO NEUROLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 311 S COLLEGE AVE # 107
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City | OXFORD
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State | OH
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Zip | 45056-2224
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Country | US
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Telephone | 216-230-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 311 S COLLEGE AVE # 107
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City | OXFORD
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State | OH
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Zip | 45056-2224
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP BILLING
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Name | DOREEN SHINN
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Credential |
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Telephone | 216-230-7050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204R00000X
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Taxonomy Name | Electrodiagnostic Medicine Physician
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License Number |
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License Number State |
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