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General NPI Number Information
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NPI Number | 1275722548
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY CONSULTANTS INC
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 2525 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-1896
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Country | US
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Telephone | 740-453-6554
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Fax | 740-453-1275
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Provider Business Mailing Address
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Address Line | 2525 MAPLE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-1896
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Country | US
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Telephone | 740-453-6554
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Fax | 740-453-1275
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID G STAINBROOK
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Credential | D.O.
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Telephone | 740-453-6554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 34005641
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License Number State | OH
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