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General NPI Number Information
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NPI Number | 1174631725
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Entity Type | Organization
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Legal Business Name | MVHE INC
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 5971 GOLF CLUB LN
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City | HAMILTON
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State | OH
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Zip | 45011-8200
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Country | US
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Telephone | 513-785-4339
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Fax | 513-785-4338
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Provider Business Mailing Address
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Address Line | 5971 GOLF CLUB LN
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City | HAMILTON
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State | OH
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Zip | 45011-8200
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Country | US
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Telephone | 513-785-4339
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Fax | 513-785-4338
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KENNETH J PRUNIER
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Credential |
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Telephone | 937-208-8213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics 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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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