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General NPI Number Information
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NPI Number | 1821087610
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Entity Type | Individual
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Provider Name | JOHN A IRETON D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 751 STATE ROUTE 664 N UNIT A
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City | LOGAN
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State | OH
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Zip | 43138-9250
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Country | US
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Telephone | 740-385-9646
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Fax | 740-385-0630
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 740-380-8000
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Fax | 614-293-2809
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 34.008170
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34008170
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License Number State | OH
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