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General NPI Number Information
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NPI Number | 1477838472
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Entity Type | Organization
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Legal Business Name | MHK HEALTH CARE LLC
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 151 W GALBRAITH RD
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City | CINCINNATI
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State | OH
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Zip | 45216-1015
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Country | US
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Telephone | 513-659-4197
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Fax |
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Provider Business Mailing Address
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Address Line | 6971 LEXINGTON PARK BLVD
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City | MASON
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State | OH
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Zip | 45040-2478
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Country | US
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Telephone | 513-659-4197
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. TARIQ SULTAN
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Credential | M.D.
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Telephone | 513-659-4197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35072023
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License Number State | OH
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