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General NPI Number Information
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NPI Number | 1821275611
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Entity Type | Organization
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Legal Business Name | RENEE SARTAIN D O LLC
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 6905 PERIMETER LOOP RD STE 200
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City | DUBLIN
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State | OH
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Zip | 43016-9601
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Country | US
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Telephone | 614-766-2220
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Fax | 614-799-3023
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Provider Business Mailing Address
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Address Line | 6905 PERIMETER LOOP RD STE 200
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City | DUBLIN
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State | OH
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Zip | 43016-9601
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Country | US
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Telephone | 614-766-2220
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Fax | 614-799-3023
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DOMINIQUE SARTAIN
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Credential |
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Telephone | 614-766-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 34003964
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 34003964
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 34003964
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 34003964
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34003964
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License Number State | OH
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