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General NPI Number Information
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NPI Number | 1376763482
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Entity Type | Organization
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Legal Business Name | OHIO STATE UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 410 W 10TH AVE N 416 DOAN HALL
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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Country | US
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Telephone | 614-293-7269
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Fax |
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Provider Business Mailing Address
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Address Line | 410 W 10TH AVE N 416 DOAN HALL
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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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 | CLINICAL HOUSE STAFF
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Name | DR. STEVEN ANTHONY BECKLEY
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Credential | M.D.
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Telephone | 614-293-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | OH
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