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General NPI Number Information
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NPI Number | 1508885807
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH NETWORK OF OHIO, LLC
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 104 N UNION ST STE B
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City | DELAWARE
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State | OH
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Zip | 43015-4401
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Country | US
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Telephone | 740-362-3696
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Fax | 740-362-5010
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Provider Business Mailing Address
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Address Line | 104 N UNION ST STE B
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City | DELAWARE
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State | OH
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Zip | 43015-1706
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Country | US
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Telephone | 740-362-3696
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Fax | 740-362-5010
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Authorized Official
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Title or Position | VP OPERATIONS OHIO
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Name | MR. BRAD A COURTER
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Credential |
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Telephone | 614-794-5053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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