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General NPI Number Information
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NPI Number | 1730413592
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Entity Type | Organization
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Legal Business Name | ALI M CARINE, DO, LLC
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 3300 RIVERSIDE DR SUITE 200
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City | UPPER ARLINGTON
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State | OH
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Zip | 43221-1738
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Country | US
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Telephone | 614-276-2400
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Fax | 614-276-2500
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Provider Business Mailing Address
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Address Line | 3300 RIVERSIDE DRIVE SUITE 200
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City | COLUMBUS
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State | OH
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Zip | 43221
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Country | US
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Telephone | 614-276-2400
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Fax | 614-276-2500
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | ALI M CARINE
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Credential | DO
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Telephone | 614-276-2400
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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 | 34-007311
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License Number State | OH
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