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General NPI Number Information
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NPI Number | 1396004818
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Entity Type | Organization
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Legal Business Name | TALBERT HOUSE INC.
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 1616 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45214-1402
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Country | US
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Telephone | 513-557-2507
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Fax | 513-557-2510
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Provider Business Mailing Address
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Address Line | 2600 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1711
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Country | US
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Telephone | 513-751-7747
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Fax | 513-751-0180
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Authorized Official
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Title or Position | CFO
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Name | MR. WILLIAM D HOSTLER
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Credential |
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Telephone | 513-751-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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