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General NPI Number Information
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NPI Number | 1598919904
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Entity Type | Organization
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Legal Business Name | JENNIFER THIE MD, LLC
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 4430 CARVER WOODS DR SUITE 125
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City | CINCINNATI
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State | OH
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Zip | 45242-5545
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Country | US
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Telephone | 513-794-1430
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Fax | 513-792-6849
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Provider Business Mailing Address
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Address Line | 4430 CARVER WOODS DR SUITE 125
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City | CINCINNATI
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State | OH
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Zip | 45242-5545
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Country | US
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Telephone | 513-794-1430
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Fax | 513-792-6849
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER L THIE
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Credential | MD
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Telephone | 513-794-1430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology 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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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