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General NPI Number Information
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NPI Number | 1336555374
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Entity Type | Organization
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Legal Business Name | AFTER HOURS FAMILY HEALTH CARE LLC
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 1204 N COURT ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1000
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Country | US
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Telephone | 740-497-4693
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Fax | 740-497-4692
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Provider Business Mailing Address
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Address Line | 1204 N COURT ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1000
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Country | US
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Telephone | 740-497-4693
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Fax | 740-497-4692
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GARY L ARTRIP
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Credential | CNP
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Telephone | 740-497-4693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State | OH
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