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General NPI Number Information
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NPI Number | 1891740874
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 4428 INDIAN RIPPLE RD
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City | BEAVERCREEK
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State | OH
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Zip | 45440-3264
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Country | US
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Telephone | 937-431-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 4428 INDIAN RIPPLE RD
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City | BEAVERCREEK
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State | OH
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Zip | 45440-3264
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Country | US
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Telephone | 937-431-4140
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF AMBULATORY PRACTICES
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Name | MS. KAREN A. MITCHUM
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Credential |
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Telephone | 937-384-6840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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