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General NPI Number Information
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NPI Number | 1073955670
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC INSTITUTE OF OHIO, INC.
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 05/03/2018
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Provider Practice Location Address
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Address Line | WILSON HEALTH MICHIGAN MEDICAL BUILDING B 915 WEST MICHIGAN STREET
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City | SIDNEY
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State | OH
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Zip | 45365
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Country | US
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Telephone | 937-419-5010
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Fax | 937-419-5011
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Provider Business Mailing Address
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Address Line | 801 MEDICAL DR SUITE A
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City | LIMA
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State | OH
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Zip | 45804-4031
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Country | US
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Telephone | 419-222-6622
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Fax | 419-224-0015
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KATHY ACKERMAN
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Credential |
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Telephone | 419-222-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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