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General NPI Number Information
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NPI Number | 1730568924
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Entity Type | Organization
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Legal Business Name | BEN SINAI HEALTH& SERVICES LLC
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 6150 HARBOUR POINTE UNIT 202
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City | COLUMBUS
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State | OH
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Zip | 43231-7708
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Country | US
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Telephone | 614-592-0240
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Fax |
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Provider Business Mailing Address
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Address Line | 6150 HARBOUR POINTE UNIT 202
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City | COLUMBUS
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State | OH
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Zip | 43231-7708
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Country | US
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Telephone | 614-592-0240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOUNIR MOUSSA
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Credential | CNP
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Telephone | 614-592-0240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | COA.09159-NP
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License Number State | OH
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