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General NPI Number Information
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NPI Number | 1962698951
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Entity Type | Organization
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Legal Business Name | DOCTORS OHIO HEALTH CORPORATION
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 2030 STRINGTOWN RD 3RD FLOOR
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City | GROVE CITY
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State | OH
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Zip | 43123-3993
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Country | US
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Telephone | 614-544-0167
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Fax | 614-544-0176
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Provider Business Mailing Address
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Address Line | 2030 STRINGTOWN RD 3RD FLOOR
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City | GROVE CITY
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State | OH
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Zip | 43123-3993
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Country | US
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Telephone | 614-544-0167
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Fax | 614-544-0176
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONAL DEVELOPMENT
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Name | TI LYNN N JOHNSON
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Credential |
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Telephone | 614-544-0167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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