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General NPI Number Information
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NPI Number | 1699801555
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Entity Type | Organization
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Legal Business Name | COLUMBUS AESTHETIC AND PLASTIC SURGERY, INC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4971 ARLINGTON CENTRE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43220-2910
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Country | US
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Telephone | 614-246-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 4971 ARLINGTON CENTRE BLVD
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City | COLUMBUS
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State | OH
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Zip | 43220-2910
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Country | US
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Telephone | 614-246-6900
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. PHILIP M TRIPOLI
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Credential |
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Telephone | 614-246-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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