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General NPI Number Information
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NPI Number | 1811703325
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Entity Type | Organization
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Legal Business Name | OSU WEXNER MEDICAL CENTER AMBULATORY SURGERY CENTER
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 6100 N HAMILTON ROAD
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City | WESTERVILLE
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State | OH
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Zip | 43081-2062
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Country | US
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Telephone | 614-257-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 660 ACKERMAN RD RM 443
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City | COLUMBUS
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State | OH
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Zip | 43202-4500
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Country | US
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Telephone | 614-293-2212
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER AMBULA
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Name | MR. DANIEL LIKE
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Credential |
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Telephone | 614-293-6433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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