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General NPI Number Information
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NPI Number | 1447480223
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Entity Type | Organization
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Legal Business Name | MIDDLEFIELD CARE CENTER, INC.
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Dates
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Enumeration Date | 07/15/2009
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Last Update Date | 07/15/2009
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Provider Practice Location Address
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Address Line | 14999 LENNY DR
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City | MIDDLEFIELD
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State | OH
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Zip | 44062-9466
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Country | US
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Telephone | 440-632-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 14999 LENNY DR
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City | MIDDLEFIELD
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State | OH
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Zip | 44062-9466
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Country | US
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Telephone | 440-632-1900
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | MR. GEORGE J. POGAN
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Credential | FACHE
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Telephone | 440-543-8199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number | 319-BC
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License Number State | OH
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