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General NPI Number Information
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NPI Number | 1275658346
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTHCARE INC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 2415 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2701
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Country | US
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Telephone | 513-412-5441
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Fax | 513-412-5442
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Provider Business Mailing Address
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Address Line | 2415 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2701
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Country | US
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Telephone | 513-412-5441
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Fax | 513-412-5442
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Authorized Official
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Title or Position | CEO
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Name | MARCIA IRVING-RAY
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Credential | DDS
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Telephone | 513-221-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 020257600
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License Number State | OH
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