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General NPI Number Information
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NPI Number | 1205893351
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Entity Type | Organization
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Legal Business Name | HIGHLAND DISTRICT HOSPITAL PROFESSIONAL SERVICES CORPORATION
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 1275 N HIGH ST
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City | HILLSBORO
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State | OH
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Zip | 45133-8273
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Country | US
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Telephone | 937-393-6101
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Fax | 937-393-6278
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Provider Business Mailing Address
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Address Line | PO BOX 637735
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City | CINCINNATI
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State | OH
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Zip | 45263-7735
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Country | US
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Telephone | 937-393-6101
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Fax | 937-393-6278
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Authorized Official
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Title or Position | VP, PROFESSIONAL SERVICES
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Name | TRACY COOMER
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Credential |
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Telephone | 937-393-6101
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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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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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