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General NPI Number Information
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NPI Number | 1053560433
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Entity Type | Individual
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Provider Name | DEANA KIMES D.O.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 1924 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6618
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Country | US
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Telephone | 513-834-7063
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Fax | 513-873-1567
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Provider Business Mailing Address
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Address Line | 4600 MONTGOMERY RD STE 400
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City | CINCINNATI
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State | OH
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Zip | 45212-2600
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OT011562
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 34.014443
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License Number State | OH
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