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General NPI Number Information
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NPI Number | 1558603779
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Entity Type | Organization
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Legal Business Name | IMARI HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 311 STRAIGHT ST
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City | CINCINNATI
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State | OH
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Zip | 45219-1018
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Country | US
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Telephone | 513-862-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 1 RIVERFRONT PL 6TH FLOOR
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City | NEWPORT
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State | KY
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Zip | 41071-4570
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JULIE ANNE KRAUSE
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Credential | MD
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Telephone | 513-324-1049
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35076897
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License Number State | OH
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