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General NPI Number Information
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NPI Number | 1316986987
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Entity Type | Individual
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Provider Name | JOHN W NAGEL II MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 111 S GRANT AVE
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City | COLUMBUS
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State | OH
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Zip | 43215-1898
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Country | US
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Telephone | 614-566-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 OLENTANGY RIVER RD STE 5320
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City | COLUMBUS
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State | OH
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Zip | 43214-3937
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Country | US
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Telephone | 614-566-1946
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.098665
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 234072-1
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License Number State | NY
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