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NPI 1356094494

NPI 1356094494 : CENTRAL OHIO WOUND OSTOMY SERVICES LLC : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1356094494
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTRAL OHIO WOUND OSTOMY SERVICES LLC 
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Dates
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    Enumeration Date     |    01/29/2022
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    Last Update Date     |    02/24/2025
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Provider Practice Location Address
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    Address Line         |    6100 E MAIN ST STE 110 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43213-3399
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    Country              |    US
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    Telephone            |    614-861-1120
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    Fax                  |    380-203-1299
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Provider Business Mailing Address
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    Address Line         |    7655 ASDEN CT 
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    City                 |    REYNOLDSBURG
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    State                |    OH
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    Zip                  |    43068-9757
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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    |    OWNER
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    Name                 |     DENICE  TAYLOR 
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    Credential           |    NP
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    Telephone            |    614-309-8442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RI0200X
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    Taxonomy Name        |    Infectious Disease Physician
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    License Number       |    
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    License Number State |    
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