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General NPI Number Information
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NPI Number | 1346760139
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Entity Type | Organization
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Legal Business Name | ODS CONSULTANTS LLC
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 06/22/2017
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Provider Practice Location Address
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Address Line | 50 W BROAD ST STE 231
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City | COLUMBUS
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State | OH
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Zip | 43215-5937
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Country | US
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Telephone | 614-224-8005
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Fax | 614-224-8005
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Provider Business Mailing Address
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Address Line | 50 W BROAD ST STE 231
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City | COLUMBUS
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State | OH
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Zip | 43215-5937
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Country | US
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Telephone | 614-224-8005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAOLO ANTONIO CURSARO
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Credential | OD
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Telephone | 614-205-9204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5179T2082
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License Number State | OH
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