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General NPI Number Information
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NPI Number | 1043286289
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Entity Type | Individual
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Provider Name | DONALD LEE NOFZIGER MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 19262 SR 136
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City | WINCHESTER
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State | OH
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Zip | 45697
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Country | US
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Telephone | 937-695-1283
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Fax | 937-695-1290
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Provider Business Mailing Address
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Address Line | 8038 WITTS MILL LN
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City | CINCINNATI
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State | OH
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Zip | 45255-5730
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Country | US
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Telephone | 513-474-0637
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35028385
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License Number State | OH
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