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General NPI Number Information
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NPI Number | 1609916337
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Entity Type | Organization
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Legal Business Name | DUBLIN OB-GYN & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 23 ERIN OFFICE PARK 2400 BELLEVUE ROAD
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City | DUBLIN
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State | GA
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Zip | 31021-2866
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Country | US
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Telephone | 478-272-8580
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Fax | 478-275-0012
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Provider Business Mailing Address
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Address Line | 23 ERIN OFFICE PARK 2400 BELLEVUE ROAD
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City | DUBLIN
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State | GA
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Zip | 31021-2866
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Country | US
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Telephone | 478-272-8580
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Fax | 478-275-0012
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MRS. JENNIFER P SIMONS
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Credential |
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Telephone | 478-272-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 017714
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 017442
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 052127
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License Number State | GA
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