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General NPI Number Information
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NPI Number | 1588612568
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Entity Type | Organization
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Legal Business Name | OSU UROLOGY, LLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 915 OLENTANGY RIVER RD SUITE 2000
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City | COLUMBUS
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State | OH
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Zip | 43212-3153
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Country | US
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Telephone | 614-293-8155
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Fax | 614-293-3565
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-293-8155
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Fax | 614-293-3565
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | JAMI HENSLEY
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Credential |
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Telephone | 614-293-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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