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NPI 1861452476

NPI 1861452476 : STEPHEN G ENGLAND MD INC : CENTERVILLE, OH

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General NPI Number Information
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    NPI Number           |    1861452476
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    Entity Type          |    Organization 
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    Legal Business Name  |    STEPHEN G ENGLAND MD INC 
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Dates
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    Enumeration Date     |    03/27/2006
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    Last Update Date     |    06/26/2008
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Provider Practice Location Address
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    Address Line         |    7720 PARAGON RD 
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    City                 |    CENTERVILLE
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    State                |    OH
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    Zip                  |    45459
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    Country              |    US
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    Telephone            |    937-435-9825
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    Fax                  |    937-435-2482
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Provider Business Mailing Address
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    Address Line         |    7720 PARAGON RD 
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    City                 |    CENTERVILLE
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    State                |    OH
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    Zip                  |    45459
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    Country              |    US
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    Telephone            |    937-435-9825
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    Fax                  |    937-435-2482
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. STEPHEN GEORGE ENGLAND 
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    Credential           |    MD
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    Telephone            |    937-435-9825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    35039574
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    License Number State |    OH
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