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General NPI Number Information
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NPI Number | 1891766382
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Entity Type | Organization
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Legal Business Name | FAIRFIELD OB/GYN ASSOC INC
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 1319 E MAIN ST
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City | LANCASTER
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State | PA
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Zip | 43130
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Country | US
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Telephone | 614-451-7346
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Fax | 614-451-5846
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Provider Business Mailing Address
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Address Line | PO BOX 20451
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City | COLUMBUS
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State | OH
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Zip | 43220
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Country | US
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Telephone | 614-451-7346
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Fax | 614-451-5846
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Authorized Official
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Title or Position | AGENT
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Name | MR. NATHANIEL P NOBLE
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Credential |
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Telephone | 614-451-7346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 34004960G
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 34004690G
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License Number State | OH
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