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General NPI Number Information
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NPI Number | 1578686333
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Entity Type | Organization
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Legal Business Name | OHIO UNIVERSITY
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | W174 GROVER CENTER
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-593-1404
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Fax | 740-593-4433
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Provider Business Mailing Address
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Address Line | W174 GROVER CENTER
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-593-1404
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Fax | 740-593-4433
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Authorized Official
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Title or Position | COORDINATOR OF CLINICAL SERVICES
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Name | DR. MARIANNE S MALAWISTA
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Credential | PHD,MA ,CCC-SLP
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Telephone | 740-593-1404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A01437
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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