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General NPI Number Information
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NPI Number | 1386779981
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Entity Type | Organization
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Legal Business Name | ASHLAND ENDOCRINOLOGY LLC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 934 CENTER ST
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City | ASHLAND
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State | OH
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Zip | 44805-4063
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Country | US
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Telephone | 419-281-2222
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Fax | 419-281-0000
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Provider Business Mailing Address
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Address Line | 934 CENTER ST
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City | ASHLAND
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State | OH
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Zip | 44805-4063
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Country | US
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Telephone | 419-281-2222
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Fax | 419-281-0000
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Authorized Official
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Title or Position | EMPLOYEE AND PRESIDENT
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Name | ANGELA NOVY
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Credential | MD
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Telephone | 419-281-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 83371
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License Number State | OH
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