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General NPI Number Information
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NPI Number | 1598967960
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Entity Type | Organization
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Legal Business Name | AMC PHYSICIANS INC.
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 200 W LORAIN ST
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City | OBERLIN
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State | OH
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Zip | 44074-1026
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Country | US
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Telephone | 440-775-1211
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Fax | 440-775-9147
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Provider Business Mailing Address
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Address Line | 200 W LORAIN ST
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City | OBERLIN
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State | OH
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Zip | 44074-1026
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Country | US
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Telephone | 440-775-1211
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Fax | 440-775-9147
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Authorized Official
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Title or Position | CFO
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Name | DAVE RICHARDS
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Credential |
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Telephone | 440-775-1211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 26099
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License Number State | OH
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