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General NPI Number Information
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NPI Number | 1720097587
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO ENDOCRINOLOGY
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 06/25/2010
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Provider Practice Location Address
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Address Line | 5965 E BROAD ST SUITE 330
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City | COLUMBUS
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State | OH
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Zip | 43213-1562
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Country | US
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Telephone | 614-864-9581
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Fax | 614-864-5649
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Provider Business Mailing Address
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Address Line | 5965 E BROAD ST SUITE 330
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City | COLUMBUS
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State | OH
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Zip | 43213-1562
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Country | US
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Telephone | 614-864-9581
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Fax | 614-864-5649
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | ROMI BHASIN
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Credential | M.D.
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Telephone | 614-864-9581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35-08-1117
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License Number State | OH
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