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NPI Code Detail

MEDICARE: DR. LINDA JEAN DENNIS MD

MEDICARE:  DR. LINDA JEAN DENNIS  MD
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
1207LA0401XAddiction Medicine (Anesthesiology) Physician35.061450OH
2208VP0000XPain Medicine Physician35.061450OH

General Provider Information

NPI Number : 1386803138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA JEAN DENNIS MD
Provider Business Mailing Address
First Line : 547 E 11TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-2603
Country : US
Telephone Number : 614-224-4506
Fax Number : 614-291-0118
Provider Business Practice Location Address
First Line : 547 E 11TH AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-2603
Country : US
Telephone Number : 614-224-4506
Fax Number : 614-291-0118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2008
Last Update Date : 11/14/2016

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Directions to “ DR. LINDA JEAN DENNIS MD” Practice Location

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