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General NPI Number Information
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NPI Number | 1063532430
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Entity Type | Organization
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Legal Business Name | CHEVIOT MEDICAL CENTER INC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 3502 BOUDINOT AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-5726
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Country | US
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Telephone | 513-481-9100
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Fax | 513-389-7052
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Provider Business Mailing Address
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Address Line | 3502 BOUDINOT AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-5726
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Country | US
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Telephone | 513-481-9100
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Fax | 513-389-7052
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Authorized Official
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Title or Position | OWNER
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Name | DR. SRILAKSHMI L PISATI
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Credential | M.D.
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Telephone | 513-481-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35-073706
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License Number State | OH
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