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General NPI Number Information
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NPI Number | 1255639381
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Entity Type | Organization
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Legal Business Name | OHIOHEALTH CORPORATION
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 1797 HILL RD N STE 100
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City | PICKERINGTON
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State | OH
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Zip | 43147-7998
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Country | US
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Telephone | 614-828-4241
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Fax | 614-367-7768
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Provider Business Mailing Address
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Address Line | 5350 FRANTZ RD
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City | DUBLIN
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State | OH
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Zip | 43016-4259
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Country | US
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Telephone | 614-544-6356
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Fax | 614-544-6370
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | MARK WUESTEWALD
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Credential |
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Telephone | 611-544-6351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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