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General NPI Number Information
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NPI Number | 1023364486
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Entity Type | Organization
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Legal Business Name | THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
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Dates
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Enumeration Date | 08/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 1670 UPHAM DR
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City | COLUMBUS
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State | OH
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Zip | 43210-1250
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Country | US
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Telephone | 614-293-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 5776 PARKSIDE XING APT/SUITE
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City | DUBLIN
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State | OH
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Zip | 43016-9374
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Country | US
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Telephone | 216-534-8688
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Fax |
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Authorized Official
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Title or Position | RESIDENCY COORDINATOR
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Name | JANET RHOADES
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Credential |
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Telephone | 614-293-4540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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