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General NPI Number Information
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NPI Number | 1932170644
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE ASSOCIATES
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 970 E. WASHINGTON STREET SUITE 301
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-725-8441
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Fax | 330-725-8442
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Provider Business Mailing Address
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Address Line | 970 E. WASHINGTON STREET SUITE 301
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City | MEDINA
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State | OH
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Zip | 44256-3332
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Country | US
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Telephone | 330-725-8441
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Fax | 330-725-8442
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JOANN SABOL
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Credential | R.N.
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Telephone | 330-725-8441
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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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