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General NPI Number Information
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NPI Number | 1598704868
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Entity Type | Individual
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Provider Name | ANDREW ZACHARY PLACE MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 10330 SAWMILL PKWY SUITE 300
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City | POWELL
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State | OH
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Zip | 43065-7790
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Country | US
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Telephone | 614-793-2635
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Fax | 614-793-2562
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Provider Business Mailing Address
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Address Line | 12035 PALMER RD SW
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-3830
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Country | US
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Telephone | 614-730-0462
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 35076937
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License Number State | OH
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