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General NPI Number Information
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NPI Number | 1093581134
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Entity Type | Organization
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Legal Business Name | DISTINCTIVE HANDS LLC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 7710 READING RD STE 112
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City | CINCINNATI
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State | OH
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Zip | 45237-2809
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Country | US
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Telephone | 513-407-8766
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 READING RD STE 112
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City | CINCINNATI
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State | OH
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Zip | 45237-2809
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Country | US
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Telephone | 513-407-8766
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEPHANIE GRAISE
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Credential |
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Telephone | 513-402-2731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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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 | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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