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General NPI Number Information
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NPI Number | 1043548753
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HOSPITAL MEDICINE ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/19/2009
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 1010 CEREAL AVE SUITE 100
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City | HAMILTON
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State | OH
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Zip | 45013-2784
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Country | US
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Telephone | 513-867-3166
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Fax | 513-867-2056
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Provider Business Mailing Address
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Address Line | 6136 BRIDGEWATER CT
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City | MASON
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State | OH
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Zip | 45040-5929
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Country | US
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Telephone | 513-382-5667
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MRS. SUSHEELA RAJAN
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Credential | M.D.
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Telephone | 513-382-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35077077
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License Number State | OH
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