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General NPI Number Information
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NPI Number | 1093833626
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Entity Type | Organization
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Legal Business Name | MID OHIO OPHTHALMIC CONSULTANTS, LTD
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 4830 KNIGHTSBRIDGE BLVD STE G
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City | COLUMBUS
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State | OH
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Zip | 43214-2300
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Country | US
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Telephone | 614-488-0000
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Fax | 614-488-8610
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Provider Business Mailing Address
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Address Line | 4830 KNIGHTSBRIDGE BLVD STE G
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City | COLUMBUS
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State | OH
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Zip | 43214-2300
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Country | US
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Telephone | 614-488-0000
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Fax | 614-488-8610
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Authorized Official
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Title or Position | MEMBER/PHYSICIAN
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Name | LOUISE ANNE DOYLE
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Credential | D.O.
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Telephone | 614-488-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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