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General NPI Number Information
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NPI Number | 1740222397
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Entity Type | Organization
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Legal Business Name | MESSICK & THOMPSON MDS
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 4919 DIERKER RD
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City | COLUMBUS
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State | OH
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Zip | 43220-2946
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Country | US
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Telephone | 614-457-4952
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Fax | 614-457-5982
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Provider Business Mailing Address
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Address Line | PO BOX 182255
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City | COLUMBUS
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State | OH
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Zip | 43218-2255
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Country | US
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Telephone | 614-430-5728
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE M MESSICK
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Credential | MD
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Telephone | 614-457-4952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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