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General NPI Number Information
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NPI Number | 1205952926
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PHYICIANS INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 03/08/2013
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Provider Practice Location Address
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Address Line | 3643 RIDGE MILL DR
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City | HILLIARD
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State | OH
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Zip | 43026-7752
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Country | US
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Telephone | 614-771-0200
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Fax | 614-771-5267
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Provider Business Mailing Address
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Address Line | 3643 RIDGE MILL DR
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City | HILLIARD
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State | OH
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Zip | 43026-7752
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Country | US
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Telephone | 614-771-0200
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Fax | 614-771-5267
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANA J SCHULTZ
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Credential | M.D.
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Telephone | 614-771-0200
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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 | 35.055265
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License Number State | OH
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