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General NPI Number Information
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NPI Number | 1013042456
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Entity Type | Organization
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Legal Business Name | JOSEPH J. MORAVEC, M.D., INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 1130 CONGRESS AVE
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City | CINCINNATI
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State | OH
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Zip | 45246-4484
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Country | US
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Telephone | 513-772-2442
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Fax | 513-722-2844
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Provider Business Mailing Address
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Address Line | 1130 CONGRESS AVE
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City | CINCINNATI
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State | OH
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Zip | 45246-4484
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Country | US
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Telephone | 513-772-2442
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Fax | 513-722-2844
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JOSEPH J MORAVEC
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Credential | MD
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Telephone | 513-772-2442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 118 0025AZ
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License Number State | OH
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