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General NPI Number Information
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NPI Number | 1598037459
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Entity Type | Organization
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Legal Business Name | MVHE INC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTER DR STE 490
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5182
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Country | US
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Telephone | 513-424-1291
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Fax | 513-424-9422
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Provider Business Mailing Address
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Address Line | 200 MEDICAL CENTER DR STE 490
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5182
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Country | US
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Telephone | 513-424-1291
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Fax | 513-424-9422
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | KENNETH PRUNIER
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Credential |
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Telephone | 937-499-8213
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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