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General NPI Number Information
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NPI Number | 1174688238
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Entity Type | Organization
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Legal Business Name | SOUTHERN OHIO EYE PHYSICIANS,INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 3120 BURNET AVE SUITE 303
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City | CINCINNATI
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State | OH
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Zip | 45229-3091
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Country | US
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Telephone | 513-861-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 BURNET AVE SUITE 303
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City | CINCINNATI
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State | OH
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Zip | 45229-3091
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Country | US
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Telephone | 513-861-8300
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Fax |
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Authorized Official
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Title or Position | OPHTHAMOLOGY
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Name | MR. HOWARD D MELVIN
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Credential | M.D.
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Telephone | 513-861-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 51997
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License Number State | OH
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