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General NPI Number Information
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NPI Number | 1467605261
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Entity Type | Organization
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Legal Business Name | OSU INTERNAL MEDICINE, LLC
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 473 W 12TH AVE SUITE 200
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City | COLUMBUS
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State | OH
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Zip | 43210-1252
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Country | US
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Telephone | 614-247-7737
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Fax | 614-293-5614
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Provider Business Mailing Address
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Address Line | 473 W 12TH AVE SUITE 200
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City | COLUMBUS
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State | OH
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Zip | 43210-1252
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Country | US
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Telephone | 614-247-7737
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Fax | 614-293-5614
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. DARLA MARIE TALBOTT
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Credential | CNP
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Telephone | 614-247-7737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1447359997
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License Number State | OH
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