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General NPI Number Information
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NPI Number | 1124027057
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Entity Type | Organization
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Legal Business Name | COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1310 HILL RD N
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City | PICKERINGTON
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State | OH
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Zip | 43147-7814
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Country | US
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Telephone | 614-434-2400
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Fax | 614-434-2499
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Provider Business Mailing Address
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Address Line | 750 MOUNT CARMEL MALL SUITE 100
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City | COLUMBUS
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State | OH
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Zip | 43222-1553
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Country | US
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Telephone | 614-434-2400
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Fax | 614-434-2499
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MARK VANMETER
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Credential | CPA
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Telephone | 614-434-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | CO9930604
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License Number State | OH
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