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General NPI Number Information
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NPI Number | 1477937423
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Entity Type | Organization
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Legal Business Name | THE OHIO STATE UNIVERSITY COLLEGE OF PHARMACY
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 07/18/2015
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Provider Practice Location Address
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Address Line | 2050 KENNY RD
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City | COLUMBUS
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State | OH
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Zip | 43221-3502
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Country | US
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Telephone | 614-293-5084
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W 12TH AVE 129 PARKS HALL
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City | COLUMBUS
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State | OH
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Zip | 43210-1214
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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 | PGY2 AMBULATORY CARE RESIDENT
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Name | ANNE KOME
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Credential | PHARMD
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Telephone | 704-408-6547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 24115
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License Number State | NC
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