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General NPI Number Information
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NPI Number | 1619196995
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Entity Type | Organization
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Legal Business Name | OSU MEDICAL CENTER
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 551 YMCA PL
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City | GAHANNA
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State | OH
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Zip | 43230-6851
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Country | US
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Telephone | 614-593-7600
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Fax | 614-293-7540
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Provider Business Mailing Address
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Address Line | 551 YMCA PL
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City | GAHANNA
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State | OH
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Zip | 43230-6851
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Country | US
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Telephone | 614-593-7600
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Fax | 614-293-7540
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Authorized Official
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Title or Position | STAFF PHYSICAL THERAPIST
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Name | MRS. NEELIMA KOOL
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Credential | PT
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Telephone | 614-293-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number | 10714
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License Number State | OH
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