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General NPI Number Information
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NPI Number | 1942424932
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Entity Type | Organization
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Legal Business Name | CENTRAL OHIO EYE SURGEONS INC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 12/11/2007
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Provider Practice Location Address
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Address Line | 1355 YAUGER RD
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City | MOUNT VERNON
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State | OH
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Zip | 43050-9233
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Country | US
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Telephone | 740-397-2425
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Fax | 740-392-1915
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Provider Business Mailing Address
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Address Line | 1355 YAUGER RD
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City | MOUNT VERNON
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State | OH
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Zip | 43050-9233
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Country | US
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Telephone | 740-397-2425
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Fax | 740-392-1915
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Authorized Official
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Title or Position | BILLING
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Name | MS. KELLY SIDLE
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Credential |
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Telephone | 740-397-2425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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