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General NPI Number Information
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NPI Number | 1982714358
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Entity Type | Organization
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Legal Business Name | ATHENS MEDICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 75 HOSPITAL DR SUITE 380
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City | ATHENS
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State | OH
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Zip | 45701-2857
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Country | US
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Telephone | 740-566-4644
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Fax | 740-566-4625
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Provider Business Mailing Address
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Address Line | 5450 FRANTZ RD STE 360
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City | DUBLIN
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State | OH
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Zip | 43016-4141
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Country | US
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Telephone | 614-544-6161
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Fax | 614-544-6370
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. MARK T ROTHSTEIN
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Credential | D.O.
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Telephone | 740-566-4644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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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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