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General NPI Number Information
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NPI Number | 1780190397
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 644 MAYSVILLE RD STE 4
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City | MOUNT STERLING
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State | KY
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Zip | 40353-9464
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Country | US
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Telephone | 859-497-6220
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 325
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City | PORTSMOUTH
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State | OH
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Zip | 45662-0325
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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 | MANAGER
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Name | AARON WILLIAMS
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Credential |
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Telephone | 606-571-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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