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General NPI Number Information
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NPI Number | 1457530487
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Entity Type | Organization
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Legal Business Name | ROBERT G. SPRATT, M.D. INC.
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 10/15/2008
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Provider Practice Location Address
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Address Line | 231 E MIDLOTHIAN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-1947
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Country | US
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Telephone | 300-788-4097
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Fax | 330-788-4061
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Provider Business Mailing Address
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Address Line | 231 E MIDLOTHIAN BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44507-1947
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Country | US
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Telephone | 300-788-4097
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Fax | 330-788-4061
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT G SPRATT
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Credential | M.D.
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Telephone | 330-788-4097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-04-9573S
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License Number State | OH
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