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NPI 1093175382

NPI 1093175382 : ASSOCIATES IN ADULT HEALTH CARE : HAMILTON, OH

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General NPI Number Information
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    NPI Number           |    1093175382
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASSOCIATES IN ADULT HEALTH CARE 
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Dates
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    Enumeration Date     |    02/29/2016
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    Last Update Date     |    02/29/2016
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Provider Practice Location Address
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    Address Line         |    1010 CEREAL AVE SUITE 305
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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            |    513-867-2811
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    Fax                  |    513-867-2094
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Provider Business Mailing Address
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    Address Line         |    1010 CEREAL AVE SUITE 305
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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            |    513-867-2811
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    Fax                  |    513-867-2094
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. THOMAS VINCINT SARGERO 
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    Credential           |    M.D.
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    Telephone            |    513-867-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    18776-NP
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    License Number State |    OH
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