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General NPI Number Information
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NPI Number | 1780869073
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Entity Type | Organization
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Legal Business Name | GROVE CITY OBSTETRICS & GYNECOLOGY INC.
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 1241 DUBLIN RD
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City | COLUMBUS
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State | OH
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Zip | 43215-7048
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Country | US
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Telephone | 614-255-5343
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Fax |
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Provider Business Mailing Address
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Address Line | 2399 OLD STRINGTOWN RD
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City | GROVE CITY
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State | OH
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Zip | 43123-2919
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Country | US
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Telephone | 614-875-4191
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Fax |
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Authorized Official
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Title or Position | CONTRACT SPECIALIST
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Name | TAMMY MCKIDDY
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Credential |
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Telephone | 614-255-5349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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