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General NPI Number Information
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NPI Number | 1558702662
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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 | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 584 COUNTY LINE RD W
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City | WESTERVILLE
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State | OH
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Zip | 43082-7245
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Country | US
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Telephone | 614-355-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 584 COUNTY LINE RD W
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City | WESTERVILLE
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State | OH
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Zip | 43082-7245
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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 | SPORTS MEDICINE CORRDINATOR FOR OUT
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Name | WILLIAM KULJU
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Credential | MS, ATC
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Telephone | 614-355-6019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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