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General NPI Number Information
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NPI Number | 1508865478
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Entity Type | Organization
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Legal Business Name | OBERLIN MEDICAL ARTS PA
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 902 W COLUMBIA ST
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City | OBERLIN
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State | KS
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Zip | 67749-2412
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Country | US
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Telephone | 785-475-2221
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Fax | 785-475-3847
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Provider Business Mailing Address
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Address Line | 902 W COLUMBIA ST P.O. BOX 110
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City | OBERLIN
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State | KS
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Zip | 67749-2412
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Country | US
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Telephone | 785-475-2221
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Fax | 785-475-3847
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BARBARA D WHITNEY
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Credential | R.N.
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Telephone | 785-475-2221
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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 |
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License Number State |
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