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General NPI Number Information
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NPI Number | 1962602680
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Entity Type | Organization
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Legal Business Name | FAR HILLS OB GYN INC
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 5701 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2207
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Country | US
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Telephone | 937-435-6222
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Fax | 937-438-8451
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Provider Business Mailing Address
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Address Line | 5701 FAR HILLS AVE
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City | DAYTON
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State | OH
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Zip | 45429-2207
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Country | US
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Telephone | 937-435-6222
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Fax | 937-438-8451
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. PAM S PALMER
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Credential |
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Telephone | 937-435-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 207VX0000X
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License Number State | OH
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