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General NPI Number Information
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NPI Number | 1043275076
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Entity Type | Individual
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Provider Name | MALARVIZHI NATESAN MS AA
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Gender | Female
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 410 WEST TENTH AVE N429 DOAN HALL
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City | COLUMBUS
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State | OH
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Zip | 43210
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Country | US
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Telephone | 614-293-4705
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Fax | 614-293-8153
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Provider Business Mailing Address
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Address Line | 660 ACKERMAN 3RD FLOOR PO BOX 183103
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City | COLUMBUS
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State | OH
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Zip | 43218-3103
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Country | US
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Telephone | 614-293-2150
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Fax | 614-293-6479
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367H00000X
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Taxonomy Name | Anesthesiologist Assistant
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License Number | 67000044
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License Number State | OH
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