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General NPI Number Information
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NPI Number | 1558855742
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Entity Type | Organization
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Legal Business Name | ACCESS PRIMARY CARE
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1797 HILL RD N STE 101B
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City | PICKERINGTON
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State | OH
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Zip | 43147-7996
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Country | US
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Telephone | 614-746-3206
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Fax | 614-859-1242
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Provider Business Mailing Address
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Address Line | PO BOX 76
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City | NEW ALBANY
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State | OH
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Zip | 43054-0076
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Country | US
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Telephone | 614-746-3206
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Fax | 614-859-1242
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MISS STEPHANIE DIIULLO
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Credential |
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Telephone | 614-202-7723
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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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