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General NPI Number Information
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NPI Number | 1093372211
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Entity Type | Organization
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Legal Business Name | HOUSLEY INSTITUTE FOR RESTORATIVE INK
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 11006 READING RD STE 102
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City | CINCINNATI
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State | OH
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Zip | 45241-1981
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Country | US
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Telephone | 513-454-6911
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Fax |
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Provider Business Mailing Address
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Address Line | 11729 WOODWIND DR
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City | LOVELAND
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State | OH
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Zip | 45140-1927
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Country | US
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Telephone | 513-490-3639
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON HOUSLEY
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Credential |
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Telephone | 513-490-3639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZA2600X
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Taxonomy Name | Medical Art Specialist/Technologist
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License Number |
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License Number State |
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