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General NPI Number Information
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NPI Number | 1104787811
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Entity Type | Organization
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Legal Business Name | OHIO VALLEY ADVANCED MEDICAL SOLUTIONS
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 909 CAITLIN DR
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City | UNION
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State | KY
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Zip | 41091-8010
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Country | US
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Telephone | 646-406-9661
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Fax | 903-205-9515
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Provider Business Mailing Address
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Address Line | 909 CAITLIN DR
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City | UNION
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State | KY
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Zip | 41091-8010
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Country | US
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Telephone | 646-406-9661
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Fax | 903-205-9515
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Authorized Official
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Title or Position | CEO
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Name | JACQUES ALEXIS
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Credential | MD
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Telephone | 646-406-9661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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