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General NPI Number Information
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NPI Number | 1578557864
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Entity Type | Individual
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Provider Name | DAVID M WATERHOUSE MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 3301 MERCY HEALTH BLVD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45211-1108
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Country | US
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Telephone | 513-751-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 MERCY HEALTH BLVD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45211-1108
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Country | US
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Telephone | 513-751-2273
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Fax | 513-751-1848
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 33573
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 56542
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35065059
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License Number State | OH
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