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General NPI Number Information
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NPI Number | 1992655088
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Entity Type | Organization
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Legal Business Name | OH INDEPENDENT MEDICAL GROUP LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 377 MARION AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2064
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Country | US
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Telephone | 419-524-6772
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Fax | 419-524-3134
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Provider Business Mailing Address
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Address Line | 3430 OHIOHEALTH PKWY
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City | COLUMBUS
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State | OH
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Zip | 43202-1575
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Country | US
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Telephone | 614-788-5016
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Fax | 614-566-0401
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Authorized Official
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Title or Position | SENIOR MEDICAL DIRECTOR
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Name | SHERRY MORGAN VOET
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Credential | M.D.
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Telephone | 614-566-0197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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