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General NPI Number Information
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NPI Number | 1548331960
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Entity Type | Organization
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Legal Business Name | APPALACHIAN PRIMARY CARE
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1246 ASHLAND AVE SUITE 102
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City | ZANESVILLE
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State | OH
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Zip | 43701-2861
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Country | US
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Telephone | 740-454-3217
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Fax | 740-454-8134
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Provider Business Mailing Address
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Address Line | 1246 ASHLAND AVE SUITE 102
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City | ZANESVILLE
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State | OH
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Zip | 43701-2861
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Country | US
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Telephone | 740-454-3217
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Fax | 740-454-8134
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CARL GORDON SCHOWENGERDT
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Credential | M.D.
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Telephone | 740-454-3217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 35025730
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 35025730
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License Number State | OH
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