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General NPI Number Information
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NPI Number | 1760502074
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Entity Type | Organization
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Legal Business Name | EAST LIVERPOOL FAMILY PRACTICE, LTD.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 16494 SAINT CLAIR AVE SUITE A
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9400
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Country | US
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Telephone | 330-386-3311
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Fax |
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Provider Business Mailing Address
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Address Line | 16494 SAINT CLAIR AVE SUITE A
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9400
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Country | US
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Telephone | 330-386-3311
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESTER H HILL
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Credential | DO
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Telephone | 330-386-3311
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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 | 3400490
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License Number State | OH
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