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General NPI Number Information
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NPI Number | 1285692228
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Entity Type | Organization
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Legal Business Name | OSU SPORTS MEDICINE CENTER
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 2050 KENNY RD
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City | COLUMBUS
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State | OH
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Zip | 43221-3502
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Country | US
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Telephone | 614-293-3600
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Fax | 614-293-2910
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-3600
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Fax | 614-366-8846
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | JAMI HENSLEY
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Credential |
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Telephone | 614-293-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) 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 | 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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