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General NPI Number Information
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NPI Number | 1144229899
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Entity Type | Organization
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Legal Business Name | GREATER CINCINNATI CARDIOVASCULAR CONSULTANTS
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 2123 AUBURN AVENUE SUITE 624
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-751-4222
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Fax | 513-751-4353
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Provider Business Mailing Address
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Address Line | 2123 AUBURN AVENUE SUITE 624
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-751-4222
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Fax | 513-751-4353
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Authorized Official
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Title or Position | PRESIDENT
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Name | F. THOMAS JENIKE
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Credential | MD
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Telephone | 513-751-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 35031105
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License Number State | OH
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