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General NPI Number Information
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NPI Number | 1740317981
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Entity Type | Organization
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Legal Business Name | FAIRFIELD MEDICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 09/03/2012
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Provider Practice Location Address
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Address Line | 1781 COUNTRYSIDE DR.
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City | LANCASTER
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State | OH
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Zip | 43130-1186
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Country | US
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Telephone | 740-687-8600
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Fax | 740-689-6608
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Provider Business Mailing Address
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Address Line | 1781 COUNTRYSIDE DR.
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City | LANCASTER
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State | OH
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Zip | 43130-1186
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Country | US
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Telephone | 740-687-8600
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Fax | 740-689-6608
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARAH J ALLEY
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Credential | M.D.
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Telephone | 740-687-8377
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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 | 35076652
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35070728
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35065511
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License Number State | OH
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