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General NPI Number Information
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NPI Number | 1417905324
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Entity Type | Organization
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Legal Business Name | CHILDREN'S SURGICAL ASSOCIATES, CORPORATION
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/21/2022
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Provider Practice Location Address
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Address Line | 700 CHILDREN'S DRIVE
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone | 614-722-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 700 CHILDREN'S DRIVE
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City | COLUMBUS
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State | OH
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Zip | 43205-2664
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Country | US
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Telephone | 614-722-2000
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Fax | 614-355-4497
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | DENNIS MINZLER
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Credential |
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Telephone | 614-722-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2086S0120X
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Taxonomy Name | Pediatric Surgery Physician
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License Number |
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License Number State |
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