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General NPI Number Information
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NPI Number | 1265466205
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Entity Type | Individual
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Provider Name | WILLIAM FRANK THISTLETHWAITE MD
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/31/2012
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Provider Practice Location Address
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Address Line | 8146 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-2324
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Country | US
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Telephone | 513-588-3623
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Fax | 513-728-4064
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Provider Business Mailing Address
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Address Line | 415 LOVELAND MIAMIVILLE RD
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City | LOVELAND
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State | OH
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Zip | 45140-6938
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Country | US
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Telephone | 513-340-4278
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Fax | 513-728-4064
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 038975
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License Number State | OH
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