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General NPI Number Information
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NPI Number | 1396822334
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Entity Type | Organization
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Legal Business Name | AVROM D. EPSTEIN
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 262 NEIL AVE SUITE 440
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City | COLUMBUS
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State | OH
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Zip | 43215-7309
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Country | US
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Telephone | 614-221-4166
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Fax | 614-221-5524
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Provider Business Mailing Address
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Address Line | 262 NEIL AVE SUITE 440
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City | COLUMBUS
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State | OH
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Zip | 43215-7309
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Country | US
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Telephone | 614-221-4166
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Fax | 614-221-5524
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Authorized Official
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Title or Position | OWNER
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Name | AVROM DAVID EPSTEIN
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Credential | M.D.
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Telephone | 614-221-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 35067301
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License Number State | OH
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