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General NPI Number Information
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NPI Number | 1407028095
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Entity Type | Organization
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Legal Business Name | ORAL & MAXILLOFACIAL SURGERY CENTERS INC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 568 INDUSTRIAL PKWY
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City | HEATH
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State | OH
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Zip | 43056-1528
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Country | US
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Telephone | 740-477-8544
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Fax |
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Provider Business Mailing Address
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Address Line | 24561 STATE ROUTE 23 SOUTH
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City | CIRCLEVILLE
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State | OH
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Zip | 43113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE COORDINATOR
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Name | MRS. TAMI DOYLE
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Credential |
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Telephone | 740-477-8544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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