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General NPI Number Information
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NPI Number | 1326089566
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Entity Type | Individual
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Provider Name | NANCY LOY
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Gender | Female
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 81 E WILSON BRIDGE RD
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City | WORTHINGTON
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State | OH
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Zip | 43085-2301
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Country | US
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Telephone | 614-234-9889
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Fax | 614-234-9885
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Provider Business Mailing Address
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Address Line | PO BOX 951603
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City | CLEVELAND
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State | OH
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Zip | 44193-0018
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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 |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35-05-4849-L
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License Number State | OH
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