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General NPI Number Information
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NPI Number | 1013405349
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Entity Type | Organization
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Legal Business Name | OHIO HEART GROUP, INC
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 3983 JACKPOT RD
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City | GROVE CITY
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State | OH
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Zip | 43123-8637
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Country | US
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Telephone | 614-594-2920
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Fax | 614-594-2925
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Provider Business Mailing Address
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Address Line | 800 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43205-1015
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Country | US
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Telephone | 614-252-8300
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Fax | 614-252-6637
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | TERI A ARP
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Credential |
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Telephone | 614-859-1107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35.070483K
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License Number State | OH
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