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General NPI Number Information
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NPI Number | 1225242944
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Entity Type | Individual
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Provider Name | CAROLE ANN PAINE MS CAC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 4960 RIDGE AVE STE 4
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City | CINCINNATI
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State | OH
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Zip | 45209-1075
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Country | US
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Telephone | 513-317-3660
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Fax | 513-351-0928
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Provider Business Mailing Address
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Address Line | 145 HIGHLAND AVE
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City | FORT THOMAS
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State | KY
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Zip | 41075-1632
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Country | US
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Telephone | 859-581-7246
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Fax | 859-581-7246
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 013485
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 65000014
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License Number State | OH
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