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General NPI Number Information
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NPI Number | 1477745438
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Entity Type | Organization
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Legal Business Name | SCIOTO VALLEY ORTHOPAEDICS, INC.
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 1735 27TH ST SUITE 308
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2677
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Country | US
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Telephone | 740-353-1709
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Fax | 740-353-3027
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Provider Business Mailing Address
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Address Line | 1735 27TH ST SUITE 308
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2677
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Country | US
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Telephone | 740-353-1709
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Fax | 740-353-3027
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. DUANE JAMES MARCHYN
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Credential | MD
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Telephone | 740-353-1709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 48826
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License Number State | OH
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