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General NPI Number Information
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NPI Number | 1477026722
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Entity Type | Organization
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Legal Business Name | SHILOH MEDICAL SERVICES, LLC
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 5748 STATE ROUTE 13 N
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City | SHILOH
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State | OH
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Zip | 44878-8849
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Country | US
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Telephone | 419-908-8003
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Fax | 419-715-2010
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Provider Business Mailing Address
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Address Line | 5748 STATE ROUTE 13 N
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City | GREENWICH
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State | OH
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Zip | 44837
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Country | US
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Telephone | 419-908-8003
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Fax | 419-715-2010
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHAD ALEXANDER KAUFMAN
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Credential | PHYSICIAN ASSISTANT
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Telephone | 419-908-8003
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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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