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General NPI Number Information
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NPI Number | 1356369219
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Entity Type | Organization
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Legal Business Name | PHYSICIAN PRACTICE ORGANIZATION,
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 10/23/2015
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Provider Practice Location Address
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Address Line | 2450 N PARK DR STE A
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City | COLUMBUS
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State | IN
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Zip | 47203-2216
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Country | US
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Telephone | 812-348-6373
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Fax | 812-376-4125
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Provider Business Mailing Address
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Address Line | 2450 N PARK DR STE A
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City | COLUMBUS
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State | IN
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Zip | 47203-2216
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Country | US
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Telephone | 812-348-6373
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Fax | 812-376-4125
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. GEORGE FRANCIS ALBERS
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Credential | M.D.
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Telephone | 812-348-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 01044962
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License Number State | IN
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