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General NPI Number Information
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NPI Number | 1194102301
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Entity Type | Organization
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Legal Business Name | MOUNT CARMEL HEALTH SYSTEM
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Dates
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Enumeration Date | 04/27/2015
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 500 S CLEVELAND AVE
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City | WESTERVILLE
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State | OH
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Zip | 43081-8971
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Country | US
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Telephone | 614-898-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 6150 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1574
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | CLAUS VON ZYCH
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Credential |
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Telephone | 614-546-4394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 207Q00000X
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License Number State | OH
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