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General NPI Number Information
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NPI Number | 1114254059
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Entity Type | Organization
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Legal Business Name | ABERDEEN MEDICAL
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 1650 U.S. HIGHWAY 52
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City | ABERDEEN
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State | OH
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Zip | 45101-9324
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Country | US
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Telephone | 937-795-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 U.S. HIGHWAY 52
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City | ABERDEEN
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State | OH
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Zip | 45101-9324
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Country | US
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Telephone | 937-795-2680
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. STEVE LAJOYE
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Credential |
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Telephone | 513-675-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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