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General NPI Number Information
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NPI Number | 1013749449
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Entity Type | Organization
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Legal Business Name | CHILLICOTHE MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 220 N PLAZA BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1787
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Country | US
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Telephone | 740-975-0175
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Fax | 740-855-1030
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Provider Business Mailing Address
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Address Line | 220 N PLAZA BLVD
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-1787
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Country | US
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Telephone | 740-975-0175
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Fax | 740-855-1030
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Authorized Official
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Title or Position | CERTIFIED FAMILY NURSE PRACTITIONER
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Name | DR. SUE ANN MAUGHMER
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Credential | DNP, APRN, FNP-BC
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Telephone | 740-975-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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