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General NPI Number Information
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NPI Number | 1760662746
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Entity Type | Organization
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Legal Business Name | PATRICK H. MACEDONIA, M.D., INC.
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1 ROSS PARK BLVD SUITE 101
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2681
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Country | US
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Telephone | 740-283-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ROSS PARK BLVD SUITE 101
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2681
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Country | US
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Telephone | 740-283-7100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK H. MACEDONIA
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Credential | M.D.
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Telephone | 740-283-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 39108
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License Number State | OH
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