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General NPI Number Information
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NPI Number | 1548646524
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Entity Type | Individual
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Provider Name | JILLIAN E ZIMMER OD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 2929 HIGHLAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2463
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Country | US
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Telephone | 513-559-3599
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Fax |
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Provider Business Mailing Address
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Address Line | 2865 CHANCELLOR DR
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3912
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Country | US
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Telephone | 859-344-2079
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Fax | 859-581-7207
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6415T3332
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License Number State | OH
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