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General NPI Number Information
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NPI Number | 1629162417
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES OF CINCINNATI INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 4357 FERGUSON DR STE 150
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City | CINCINNATI
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State | OH
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Zip | 45245-1760
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Country | US
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Telephone | 513-474-4450
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Fax | 513-474-6387
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Provider Business Mailing Address
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Address Line | 4357 FERGUSON DR STE 150
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City | CINCINNATI
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State | OH
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Zip | 45245-1760
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Country | US
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Telephone | 513-474-4450
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Fax | 513-474-6387
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | DAWN GRINSPAN
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Credential |
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Telephone | 513-474-4450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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