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NPI Code Detail

MEDICARE: DR NORTH, LLC

MEDICARE: DR NORTH, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist35057152NOH

General Provider Information

NPI Number : 1104094069
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR NORTH, LLC
Provider Business Mailing Address
First Line : 2912 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-3616
Country : US
Telephone Number : 614-748-2000
Fax Number : 614-748-3000
Provider Business Practice Location Address
First Line : 2912 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-3616
Country : US
Telephone Number : 614-748-2000
Fax Number : 614-748-3000
Authorized Official
Title or Position : BILLING SPECIALIST
Name : MRS. LATOYA S BROWN
Credential :
Telephone Number : 614-497-3700
Provider Enumeration Date : 02/13/2008
Last Update Date : 02/13/2008

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Directions to “DR NORTH, LLC ” Practice Location

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