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General NPI Number Information
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NPI Number | 1003035833
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Entity Type | Organization
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Legal Business Name | OHIO UROLOGY, INC.
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 941 CHATHAM LN SUITE 110
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City | COLUMBUS
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State | OH
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Zip | 43221-2416
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Country | US
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Telephone | 614-459-7607
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Fax | 614-459-7606
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Provider Business Mailing Address
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Address Line | 941 CHATHAM LN SUITE 110
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City | COLUMBUS
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State | OH
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Zip | 43221-2416
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Country | US
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Telephone | 614-459-7607
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Fax | 614-459-7606
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN ANDREW KOFF
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Credential | M.D.
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Telephone | 614-459-7607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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