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General NPI Number Information
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NPI Number | 1164727988
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Entity Type | Organization
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Legal Business Name | MIDTOWN OBSTETRICS & GYNECOLOGY, INC
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/26/2011
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Provider Practice Location Address
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Address Line | 270 E TOWN ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4602
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Country | US
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Telephone | 614-224-0115
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Fax | 614-224-0776
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Provider Business Mailing Address
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Address Line | 270 E TOWN ST
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City | COLUMBUS
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State | OH
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Zip | 43215-4602
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Country | US
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Telephone | 614-224-0115
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Fax | 614-224-0776
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Authorized Official
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Title or Position | PHYSICIAN / DIRECTOR
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Name | DR. TAMARA J THOMPSON
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Credential | M.D.
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Telephone | 614-224-0115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 843055
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License Number State | OH
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