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General NPI Number Information
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NPI Number | 1730126145
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Entity Type | Organization
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Legal Business Name | OHIO HEART LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4625 MORSE RD SUITE #100
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City | GAHANNA
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State | OH
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Zip | 43230-8355
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Country | US
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Telephone | 614-476-2222
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Fax | 614-476-5761
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Provider Business Mailing Address
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Address Line | 5128 WINTERBURG WAY
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City | WESTERVILLE
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State | OH
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Zip | 43081-5235
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Country | US
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Telephone | 614-476-2222
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. DAVID J RICHARDS
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Credential |
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Telephone | 614-378-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 0668IC
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License Number State | OH
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