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General NPI Number Information
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NPI Number | 1124020904
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Entity Type | Individual
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Provider Name | JEFFREY PHILIP MD
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Gender | Male
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 2000 JOSEPH E. SANKER BOULEVARD THE UROLOGY CENTER
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City | CINCINNATI
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State | OH
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Zip | 45212
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Country | US
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Telephone | 513-841-7600
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Fax | 513-841-7601
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Provider Business Mailing Address
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Address Line | 200 NORTHLAND BOULEVARD OUTPATIENT ANESTHESIA SPECIALISTS
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City | CINCINNATI
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State | OH
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Zip | 45246
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Country | US
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Telephone | 513-204-5696
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Fax | 877-284-4283
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35065050
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License Number State | OH
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