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General NPI Number Information
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NPI Number | 1417403569
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Entity Type | Organization
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Legal Business Name | NATIONWIDE CHILDREN'S HOSPITAL
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 100 E GAY ST UNIT 206
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City | COLUMBUS
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State | OH
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Zip | 43215-3169
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Country | US
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Telephone | 787-717-8477
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E GAY ST UNIT 206
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City | COLUMBUS
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State | OH
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Zip | 43215-3169
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Country | US
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Telephone | 787-717-8477
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. MARC P MICHALSKY
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Credential |
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Telephone | 614-722-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State |
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