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General NPI Number Information
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NPI Number | 1518102375
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Entity Type | Organization
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Legal Business Name | MICHAEL AND DAVID ROTHAN DDS INC
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 11430 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-6104
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Country | US
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Telephone | 513-825-6111
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Fax | 513-825-5947
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Provider Business Mailing Address
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Address Line | 11430 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-6104
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Country | US
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Telephone | 513-825-6111
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Fax | 513-825-5947
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISS CHERYL MURRER
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Credential |
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Telephone | 513-825-6111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 18278
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 18277
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License Number State | OH
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