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General NPI Number Information
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NPI Number | 1629388640
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTH CARE, INC.
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 270 SOUTHERN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-3023
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Country | US
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Telephone | 513-363-5658
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 AUBURN AVE
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City | CINCINNATI
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State | OH
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Zip | 45219-2701
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Country | US
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Telephone | 513-221-4949
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Fax | 513-241-4191
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Authorized Official
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Title or Position | CEO
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Name | DR. MARCIA A IRVING-RAY
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Credential | DDS
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Telephone | 513-221-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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