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General NPI Number Information
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NPI Number | 1194999839
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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 | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 7596 TYLERS PLACE BLVD SUITE B
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City | WEST CHESTER
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State | OH
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Zip | 45069-6309
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Country | US
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Telephone | 513-779-7790
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Fax |
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Provider Business Mailing Address
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Address Line | 7596 TYLERS PLACE BLVD SUITE B
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City | WEST CHESTER
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State | OH
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Zip | 45069-6309
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Country | US
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Telephone | 513-779-7790
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | KENNETH 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 | 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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