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General NPI Number Information
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NPI Number | 1346816113
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Entity Type | Organization
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Legal Business Name | BABBS FAMILY PRACTICE, LLC
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 7368 COUNTY ROAD 623 UNIT B
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City | MILLERSBURG
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State | OH
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Zip | 44654-9256
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Country | US
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Telephone | 330-473-6314
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Fax | 330-473-6321
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Provider Business Mailing Address
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Address Line | 7368 COUNTY ROAD 623 UNIT B
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City | MILLERSBURG
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State | OH
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Zip | 44654-9256
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Country | US
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Telephone | 330-473-6314
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Fax | 330-473-6321
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Authorized Official
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Title or Position | CFO
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Name | SUSAN A ROCHELLE
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Credential | CPA
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Telephone | 330-473-0964
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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 |
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