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General NPI Number Information
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NPI Number | 1083665137
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Entity Type | Organization
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Legal Business Name | CHILDREN'S MEDICAL SERVICES, INC
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 3333 BURNET AVE ML 2001
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City | CINCINNATI
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State | OH
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Zip | 45229-3039
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Country | US
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Telephone | 513-636-4408
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Fax | 513-636-7337
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Provider Business Mailing Address
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Address Line | 3333 BURNET AVE ML 5021
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City | CINCINNATI
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State | OH
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Zip | 45229-3039
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Country | US
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Telephone | 513-636-5013
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Fax | 866-213-7084
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Authorized Official
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Title or Position | SENIOR DIRECTOR, MSS
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Name | MICHELLE STULTZ
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Credential | RN, CPCS, CPCSM
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Telephone | 513-636-6977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number |
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License Number State |
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