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General NPI Number Information
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NPI Number | 1356740914
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Entity Type | Organization
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Legal Business Name | MID OHIO ANESTHESIOLOGY CONSULTANTS
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 5625 N HIGH ST STE 7
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City | WORTHINGTON
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State | OH
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Zip | 43085-3964
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Country | US
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Telephone | 614-741-7237
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Fax |
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Provider Business Mailing Address
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Address Line | 5942 HEADLEY RD
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City | GAHANNA
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State | OH
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Zip | 43230-1933
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Country | US
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Telephone | 614-507-3228
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MOHAMMED FARID EDWARDS
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Credential | MD
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Telephone | 614-741-7237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 35037442
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License Number State | OH
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