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General NPI Number Information
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NPI Number | 1669047924
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Entity Type | Organization
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Legal Business Name | OHIO STATE UNIVERSITY - CAP
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 3870 TOWNSFAIR WAY # 103-B
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City | COLUMBUS
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State | OH
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Zip | 43219-6173
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Country | US
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Telephone | 888-663-6331
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Fax | 380-223-2984
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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 | 888-663-6331
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Fax | 380-223-2984
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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