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General NPI Number Information
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NPI Number | 1013297340
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Entity Type | Organization
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Legal Business Name | UC HEALTH
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 234 GOODMAN ST ML 665X
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City | CINCINNATI
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State | OH
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Zip | 45219-2364
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Country | US
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Telephone | 513-584-7425
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Fax | 513-584-8730
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Provider Business Mailing Address
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Address Line | 234 GOODMAN ST ML 665X
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City | CINCINNATI
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State | OH
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Zip | 45219-2364
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Country | US
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Telephone | 513-584-7425
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Fax | 513-584-8730
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. JINDA AK BOWERMAN
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Credential | NP-C
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Telephone | 513-584-7425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | COA 12549-NP
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License Number State | OH
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