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General NPI Number Information
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NPI Number | 1962823708
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Entity Type | Organization
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Legal Business Name | LOWER LIGHTS CHRISTIAN HEALTH CENTER, INC
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Dates
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Enumeration Date | 12/20/2013
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 6000 COOPER RD
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City | WESTERVILLE
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State | OH
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Zip | 43081-8984
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Country | US
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Telephone | 614-274-1455
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Fax | 614-274-1433
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Provider Business Mailing Address
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Address Line | 1160 W BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43222-1317
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Country | US
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Telephone | 614-274-1455
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Fax | 614-274-1433
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | CLIFFORD OSBORNE
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Credential |
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Telephone | 614-274-1544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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