# AFFINITY FAMILY PRACTICE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245273911
- **Authorized official:** BECKY J DURBIN OFFICE MANGER (OFFICE MANGER)
- **Authorized official phone:** (330) 682-3075

## Contact information

- **Practice address:** 365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
- **Practice address phone:** (330) 682-3075
- **Practice address fax:** (330) 682-7454
- **Mailing address:** 365 S CROWN HILL RD, ORRVILLE, OH 44667-9527
- **Mailing address phone:** (330) 682-3075
- **Mailing address fax:** (330) 682-7454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 34002743 | OH | — |
| 207Q00000X | Family Medicine Physician | 34002356 | OH | Yes |
| 207Q00000X | Family Medicine Physician | 34006265 | OH | — |
| 207Q00000X | Family Medicine Physician | 34008128 | OH | — |
| 207Q00000X | Family Medicine Physician | 34008892 | OH | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 12/09/2013