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General NPI Number Information
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NPI Number | 1912066499
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Entity Type | Organization
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Legal Business Name | METROPOLITAN FAMILY CARE, INC.
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 3341 E LIVINGSTON AVE STE D SUITE D
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City | COLUMBUS
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State | OH
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Zip | 43227-1949
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Country | US
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Telephone | 614-237-1067
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Fax | 614-237-2655
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Provider Business Mailing Address
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Address Line | 3341 E LIVINGSTON AVE STE D
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City | COLUMBUS
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State | OH
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Zip | 43227-1949
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Country | US
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Telephone | 614-237-1067
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Fax | 614-237-2655
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SHIRFA TYBERG
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Credential | MD
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Telephone | 614-237-1067
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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 | 35060121
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License Number State | OH
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