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General NPI Number Information
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NPI Number | 1619429586
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Entity Type | Organization
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Legal Business Name | GIULIANA CENTURION D.O., LLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 3001 HIGHLAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2315
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Country | US
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Telephone | 513-961-7799
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Fax | 513-487-3765
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Provider Business Mailing Address
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Address Line | 3001 HIGHLAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2315
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Country | US
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Telephone | 513-961-7799
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Fax | 513-487-3765
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. GIULIANA CENTURION
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Credential | D.O.
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Telephone | 513-961-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34.011374
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License Number State | OH
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