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General NPI Number Information
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NPI Number | 1598752701
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Entity Type | Organization
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Legal Business Name | MANSFIELD NEUROLOGY INC
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 222 MARION AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2138
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Country | US
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Telephone | 419-526-1964
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Fax | 419-526-0012
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Provider Business Mailing Address
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Address Line | 222 MARION AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2138
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Country | US
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Telephone | 419-526-1964
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Fax | 419-526-0012
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | DR. STEPHEN A HILL
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Credential | MD
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Telephone | 419-526-1964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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