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General NPI Number Information
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NPI Number | 1831160498
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Entity Type | Organization
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Legal Business Name | MID-OHIO PODIATRY INC
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 110 W SMILEY AVE
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City | SHELBY
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State | OH
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Zip | 44875
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Country | US
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Telephone | 419-342-6351
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Fax | 419-347-1697
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Provider Business Mailing Address
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Address Line | PO BOX 5005
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City | SHELBY
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State | OH
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Zip | 44875-5005
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Country | US
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Telephone | 419-342-6351
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Fax | 419-347-1697
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. PAULA KAY ALBRIGHT
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Credential |
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Telephone | 419-342-6351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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