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General NPI Number Information
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NPI Number | 1720488653
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Entity Type | Organization
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Legal Business Name | GALION PHYSICIAN SERVICES INC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 269 PORTLAND WAY S
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City | GALION
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State | OH
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Zip | 44833-2312
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Country | US
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Telephone | 419-468-0733
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Fax |
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Provider Business Mailing Address
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Address Line | 332 CONGRESS PARK DR
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City | DAYTON
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State | OH
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Zip | 45459-4133
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Country | US
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Telephone | 937-312-3627
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN SCHOETTMER
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Credential | M.D.
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Telephone | 419-468-0733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | RN.352282
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License Number State | OH
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