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General NPI Number Information
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NPI Number | 1578657821
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Entity Type | Organization
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Legal Business Name | OCONEE FAMILY MEDICINE CENTER, PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 800 W THOMAS ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2674
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Country | US
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Telephone | 478-453-9346
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Fax | 478-453-0205
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Provider Business Mailing Address
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Address Line | 800 W THOMAS ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2674
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Country | US
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Telephone | 478-453-9346
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Fax | 478-453-0205
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Authorized Official
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Title or Position | PARTNER
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Name | JAMES SMITH
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Credential | MD
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Telephone | 478-453-9346
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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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