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General NPI Number Information
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NPI Number | 1093730681
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Entity Type | Organization
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Legal Business Name | FAIRFIELD HEALTHCARE PROFESSIONALS INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 214 HARMON AVE
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City | LANCASTER
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State | OH
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Zip | 43130-3361
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Country | US
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Telephone | 740-689-9803
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Fax | 740-689-9808
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Provider Business Mailing Address
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Address Line | PO BOX 2563
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City | LANCASTER
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State | OH
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Zip | 43130-5563
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Country | US
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Telephone | 740-687-8499
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Fax | 740-687-8230
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Authorized Official
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Title or Position | MANAGER
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Name | LORI PARRISH
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Credential |
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Telephone | 740-687-8499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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