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General NPI Number Information
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NPI Number | 1396736146
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Entity Type | Organization
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Legal Business Name | ASHLAND FAMILY PRACTICE, INC
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 1941 BANEY RD S
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City | ASHLAND
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State | OH
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Zip | 44805-4502
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Country | US
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Telephone | 419-289-0333
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Fax | 419-281-7903
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Provider Business Mailing Address
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Address Line | 1941 BANEY RD S
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City | ASHLAND
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State | OH
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Zip | 44805-4502
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Country | US
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Telephone | 419-289-0333
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Fax | 419-281-7903
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | KATHLEEN J. STRINE
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Credential | RN
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Telephone | 419-289-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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