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General NPI Number Information
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NPI Number | 1730351602
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Entity Type | Organization
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Legal Business Name | COLUMBUS OPHTHALMOLOGY CENTER I, LTD
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 06/05/2019
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Provider Practice Location Address
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Address Line | 6357 N HAMILTON RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-1590
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Country | US
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Telephone | 614-939-1600
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Fax | 614-939-0585
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Provider Business Mailing Address
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Address Line | 6357 N HAMILTON RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-1590
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Country | US
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Telephone | 614-939-1600
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Fax | 614-939-0585
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID DAWSON
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Credential |
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Telephone | 614-939-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35051085
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35.051085
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License Number State | OH
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