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General NPI Number Information
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NPI Number | 1073736849
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Entity Type | Organization
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Legal Business Name | COSHOCTON OCCUPATIONAL MEDICINE
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 646 CHESTNUT ST
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City | COSHOCTON
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State | OH
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Zip | 43812
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Country | US
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Telephone | 740-622-3016
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Fax | 740-622-9588
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Provider Business Mailing Address
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Address Line | 646 CHESTNUT ST
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City | COSHOCTON
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State | OH
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Zip | 43812
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Country | US
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Telephone | 740-622-3016
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Fax | 740-622-9588
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NICHOLAS VARRATI
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Credential | M.D.
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Telephone | 740-622-3016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State | OH
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