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General NPI Number Information
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NPI Number | 1619068434
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Entity Type | Organization
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Legal Business Name | QUEEN CITY SENIORS INC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6355 E KEMPER RD SUITE LL1
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City | CINCINNATI
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State | OH
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Zip | 45241-2380
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Country | US
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Telephone | 513-247-0013
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Fax | 513-247-0081
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Provider Business Mailing Address
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Address Line | 675 DEIS DR #105
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City | FAIRFIELD
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State | OH
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Zip | 45014-8136
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Country | US
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Telephone | 513-247-0013
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Fax | 513-247-0081
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH REISING
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Credential |
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Telephone | 800-836-2904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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