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General NPI Number Information
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NPI Number | 1891752911
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Entity Type | Organization
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Legal Business Name | OHIO STATE UNIVERSITY
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 450 W 10TH AVE DEPT OF NUTRITION S-07 RHODES HALL
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City | COLUMBUS
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State | OH
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Zip | 43210-1240
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Country | US
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Telephone | 614-293-2300
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Fax | 614-293-3740
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Provider Business Mailing Address
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Address Line | 660 ACKERMAN RD PO BOX 183103
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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 |
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Fax |
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Authorized Official
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Title or Position | ADMIN - DIRECTOR OF FINANCE
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Name | JEFFREY J ELLISON
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Credential |
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Telephone | 614-293-2150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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