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General NPI Number Information
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NPI Number | 1619601283
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Entity Type | Organization
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Legal Business Name | OHIO FOOT & ANKLE, INC
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 5060 BRADENTON AVE STE B
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City | DUBLIN
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State | OH
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Zip | 43017-3511
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Country | US
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Telephone | 614-505-8990
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Fax | 614-895-8810
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Provider Business Mailing Address
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Address Line | 350 W WILSON BRIDGE RD STE 20
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City | WORTHINGTON
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State | OH
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Zip | 43085-2585
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Country | US
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Telephone | 614-505-8990
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRIS MASCIOLA
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Credential |
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Telephone | 614-895-8747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number |
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License Number State |
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