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NPI 1598096125

NPI 1598096125 : JAMEEL MIKAL MOKSA BATTLE DPT, AT, DIPL. O.M. : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1598096125
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    Entity Type          |    Individual 
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    Provider Name        |    JAMEEL MIKAL MOKSA BATTLE DPT, AT, DIPL. O.M.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/21/2010
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    Last Update Date     |    01/06/2025
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Provider Practice Location Address
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    Address Line         |    4010 EXECUTIVE PARK DR STE 135 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45241-4013
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    Country              |    US
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    Telephone            |    513-742-2669
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    Fax                  |    513-488-0523
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Provider Business Mailing Address
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    Address Line         |    PO BOX 18337 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45218-0337
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    Country              |    US
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    Telephone            |    513-349-4665
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    Fax                  |    513-488-0523
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    66.000066
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT017757
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    License Number State |    OH
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