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General NPI Number Information
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NPI Number | 1699650036
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Entity Type | Individual
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Provider Name | MR. ERIC WOHLFORD
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Gender | Male
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5475 RINGS RD
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City | DUBLIN
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State | OH
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Zip | 43017-7537
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Country | US
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Telephone | 614-210-1885
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 CRESTVIEW WOODS DR
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City | NEWARK
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State | OH
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Zip | 43055-9280
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Country | US
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Telephone | 740-403-8954
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 427776
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | 68.000029
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License Number State | OH
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