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General NPI Number Information
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NPI Number | 1053337691
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Entity Type | Organization
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Legal Business Name | EMMETT E O'NEAL MD PC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 3009 CLIFTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2403
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Country | US
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Telephone | 513-281-5070
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Fax | 513-281-4433
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Provider Business Mailing Address
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Address Line | 3009 CLIFTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2403
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Country | US
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Telephone | 513-281-5070
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Fax | 513-281-4433
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Authorized Official
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Title or Position | PRESIDENT
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Name | EMMETT E O'NEAL
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Credential | M.D.
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Telephone | 513-281-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 35.042347
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License Number State | OH
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