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General NPI Number Information
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NPI Number | 1013192418
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Entity Type | Organization
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Legal Business Name | PREXUS CLINICAL SERVICES, LLC
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 225 PICTORIA DR STE 800
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City | CINCINNATI
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State | OH
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Zip | 45246-1615
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Country | US
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Telephone | 513-454-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 225 PICTORIA DR STE 800
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City | CINCINNATI
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State | OH
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Zip | 45246-1615
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Country | US
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Telephone | 513-454-1414
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT MANAGED CARE
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Name | ROBYN M FINNEGAN
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Credential |
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Telephone | 513-454-1428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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