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General NPI Number Information
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NPI Number | 1174581185
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Entity Type | Organization
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Legal Business Name | OSU HEALTH SYSTEM ANESTHESIA
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 410 W 10TH AVE N429 DOAN HALL
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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Country | US
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Telephone | 614-293-4705
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Fax | 614-293-8153
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 385
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City | COLUMBUS
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State | OH
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Zip | 43202-1524
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Country | US
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Telephone | 614-685-4313
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Fax | 614-293-3606
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | ANNE SMITH
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Credential |
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Telephone | 614-293-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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