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General NPI Number Information
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NPI Number | 1720084791
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Entity Type | Individual
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Provider Name | ANTHONY G URIBES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 725 SOUTH SHOOP AVENUE FULTON COUNTY HEALTH CENTER
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City | WAUSEON
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State | OH
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Zip | 43567-1305
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Country | US
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Telephone | 419-335-3624
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Fax | 419-335-4400
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Provider Business Mailing Address
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Address Line | 11109 PARKVIEW PLAZA DR # 117
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City | FORT WAYNE
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State | IN
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Zip | 46845-1701
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Country | US
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Telephone |
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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 | 35082560U
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License Number State | OH
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