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General NPI Number Information
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NPI Number | 1356519771
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Entity Type | Organization
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Legal Business Name | MICHAEL CHOLERA, DO, INC.
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 07/15/2011
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Provider Practice Location Address
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Address Line | 3860 RACE RD STE. 204
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City | CINCINNATI
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State | OH
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Zip | 45211-4306
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Country | US
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Telephone | 513-699-1674
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Fax |
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Provider Business Mailing Address
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Address Line | 919 SQUIRE VALLEY DR
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City | VILLA HILLS
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State | KY
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Zip | 41017-1479
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Country | US
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Telephone | 513-699-1674
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL CHOLERA
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Credential | DO
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Telephone | 513-699-1674
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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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