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General NPI Number Information
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NPI Number | 1356465439
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Entity Type | Organization
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Legal Business Name | MIDWEST HOSPITALISTS, INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 10999 REED HARTMAN HWY STE 215
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City | BLUE ASH
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State | OH
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Zip | 45242-8301
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Country | US
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Telephone | 513-745-9320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 645369
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City | CINCINNATI
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State | OH
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Zip | 45264-5369
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Country | US
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Telephone | 859-291-4800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAFAEL FLEITES
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Credential | M.D.
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Telephone | 513-469-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35075345
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License Number State | OH
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