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General NPI Number Information
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NPI Number | 1225408925
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Entity Type | Organization
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Legal Business Name | BETHESDA HOSP, INC.
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 3125 HAMILTON MASON RD
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City | HAMILTON
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State | OH
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Zip | 45011-5307
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Country | US
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Telephone | 513-893-8173
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Fax | 513-893-8161
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Provider Business Mailing Address
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Address Line | 3125 HAMILTON MASON RD
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City | HAMILTON
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State | OH
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Zip | 45011-5307
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Country | US
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Telephone | 513-893-8173
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Fax | 513-893-8161
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Authorized Official
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Title or Position | AMBULATORY MANAGER
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Name | LEONARD KAES
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Credential |
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Telephone | 513-862-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 022192600-03
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License Number State | OH
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