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General NPI Number Information
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NPI Number | 1336458165
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Entity Type | Organization
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Legal Business Name | TRIHEALTH Q LLC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 6949 GOOD SAMARITAN DRIVE SUITE 210
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City | CINCINNATI
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State | OH
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Zip | 45247
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Country | US
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Telephone | 513-931-2400
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Fax | 513-931-0132
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Provider Business Mailing Address
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Address Line | 6949 GOOD SAMARITAN DRIVE SUITE 210
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City | CINCINNATI
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State | OH
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Zip | 45247
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Country | US
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Telephone | 513-931-2400
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Fax | 513-931-0132
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAMELA COYLE-TOERNER
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Credential |
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Telephone | 513-246-8001
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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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