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General NPI Number Information
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NPI Number | 1174792014
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Entity Type | Organization
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Legal Business Name | PERRY COUNTY FAMILY PRACTICE, INC.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1625 AIRPORT RD
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City | NEW LEXINGTON
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State | OH
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Zip | 43764-9749
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Country | US
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Telephone | 740-342-5158
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Fax | 740-342-7393
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Provider Business Mailing Address
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Address Line | PO BOX 596
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City | NEW LEXINGTON
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State | OH
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Zip | 43764-0596
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Country | US
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Telephone | 740-342-5158
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Fax | 740-342-6702
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Authorized Official
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Title or Position | OWNER
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Name | AMJAD RASS
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Credential |
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Telephone | 740-680-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 35-042516
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License Number State | OH
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