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General NPI Number Information
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NPI Number | 1780718668
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Entity Type | Organization
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Legal Business Name | US HEALTHWORKS MEDICAL GROUP
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4849 E MAIN ST
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City | COLUMBUS
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State | OH
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Zip | 43213
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Country | US
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Telephone | 614-863-5188
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Fax | 614-863-3560
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Provider Business Mailing Address
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Address Line | 1768 STORROW DRIVE
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City | LEWIS CENTER
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State | OH
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Zip | 43035
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Country | US
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Telephone | 614-448-2672
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. STEVE M LOCSEY
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Credential | MD
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Telephone | 614-863-5188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009973
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License Number State | OH
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