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NPI Code Detail

MEDICARE: COLUMBUS PREPARATORY & FITNESS ACADEMY

MEDICARE: COLUMBUS PREPARATORY & FITNESS ACADEMY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1295010338
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS PREPARATORY & FITNESS ACADEMY
Provider Business Mailing Address
First Line : 1258 DEMOREST RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-7003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1258 DEMOREST RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-7003
Country : US
Telephone Number : 614-301-4856
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : TOBY PINKERTON
Credential :
Telephone Number : 937-684-2501
Provider Enumeration Date : 10/20/2011
Last Update Date : 10/20/2011

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Directions to “COLUMBUS PREPARATORY & FITNESS ACADEMY ” Practice Location

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