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General NPI Number Information
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NPI Number | 1568608479
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Entity Type | Organization
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Legal Business Name | ALTERNA CARE PROVIDERS LLC
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Dates
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Enumeration Date | 12/23/2008
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Last Update Date | 10/04/2012
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Provider Practice Location Address
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Address Line | 6349 STARRIDGE COURT
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City | CINCINNATI
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State | OH
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Zip | 45248
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Country | US
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Telephone | 513-403-8465
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Fax | 513-297-7578
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Provider Business Mailing Address
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Address Line | 3860 RACE ROAD SUITE 204
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City | CINCINNATI
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State | OH
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Zip | 45211
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Country | US
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Telephone | 513-574-0055
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Fax | 513-574-0806
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Authorized Official
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Title or Position | CERTIFIED NURSE PRACTITIONER/OWNER
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Name | TAMARA L SIEMER
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Credential | CNP
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Telephone | 513-451-7633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP06006
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License Number State | OH
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