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General NPI Number Information
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NPI Number | 1952893950
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Entity Type | Organization
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Legal Business Name | MIDLAND MEDICAL GROUP, LLC
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 1000 GEORGESVILLE RD
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City | COLUMBUS
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State | OH
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Zip | 43228
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Country | US
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Telephone | 614-428-8100
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Fax | 614-428-8101
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Provider Business Mailing Address
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Address Line | 2330 MORSE RD STE A
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City | COLUMBUS
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State | OH
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Zip | 43229-5804
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Country | US
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Telephone | 614-428-8101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMED JAMA HASHI
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Credential | MD
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Telephone | 614-428-8100
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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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