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General NPI Number Information
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NPI Number | 1083668917
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Entity Type | Organization
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Legal Business Name | OHIO DIGESTIVE CARE LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 495 COOPER RD SUITE 427
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City | WESTERVILLE
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State | OH
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Zip | 43081-8723
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Country | US
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Telephone | 614-523-1111
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Fax | 614-523-1110
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Provider Business Mailing Address
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Address Line | 200 BRADENTON AVE
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City | DUBLIN
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State | OH
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Zip | 43017-7515
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Country | US
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Telephone | 614-793-1980
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Fax | 614-793-1985
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY A. LEFKOVITZ
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Credential | M.D.
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Telephone | 614-523-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35-05-8577
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License Number State | OH
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