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General NPI Number Information
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NPI Number | 1477465649
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Entity Type | Organization
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Legal Business Name | PANKEYS TABLE LLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 7899 CAMARGO RD
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City | CINCINNATI
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State | OH
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Zip | 45243-2651
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Country | US
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Telephone | 513-807-8909
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Fax |
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Provider Business Mailing Address
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Address Line | 7672 MONTGOMERY RD STE 147
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City | CINCINNATI
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State | OH
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Zip | 45236-4204
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Country | US
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Telephone | 513-807-8909
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | MR. MARK ANTHONY JONES
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Credential |
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Telephone | 614-843-2941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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