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General NPI Number Information
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NPI Number | 1598348252
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Entity Type | Individual
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Provider Name | JUSTIN MICHAEL YORK DO
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Gender | Male
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 8000 5 MILE RD STE 305
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City | CINCINNATI
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State | OH
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Zip | 45230-2188
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Country | US
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Telephone | 513-232-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 8000 5 MILE RD STE 305
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City | CINCINNATI
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State | OH
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Zip | 45230-2188
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Country | US
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Telephone | 513-232-3500
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34.017264
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License Number State | OH
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