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NPI 1558855742 Active Family Medicine

Quick Facts

NPI Number

1558855742

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2018-06-20

Last Updated (NPPES)

2018-06-20

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`

Practice Address

1797 HILL RD N STE 101B
PICKERINGTON, OH 431477996

Phone: 614-746-3206

Fax: 614-859-1242

Mailing Address

PO BOX 76
NEW ALBANY, OH 430540076

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