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General NPI Number Information
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NPI Number | 1578501250
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Entity Type | Organization
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Legal Business Name | W BOYD CRAFTON MD INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 2123 AUBURN AVENUE SUITE 242
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-723-9000
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Fax | 513-723-0455
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Provider Business Mailing Address
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Address Line | 2123 AUBURN AVENUE SUITE 242
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City | CINCINNATI
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State | OH
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Zip | 45219
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Country | US
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Telephone | 513-723-9000
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Fax | 513-723-0455
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. KATIE KAFEL
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Credential |
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Telephone | 513-723-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35055281C
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License Number State | OH
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