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General NPI Number Information
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NPI Number | 1639139017
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Entity Type | Organization
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Legal Business Name | JESUS C HONTANOSAS MD INC
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 2055 HOSPITAL DR STE 335
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City | BATAVIA
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State | OH
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Zip | 45103-1978
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Country | US
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Telephone | 513-732-1660
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Fax | 513-732-1665
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Provider Business Mailing Address
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Address Line | 2055 HOSPITAL DR STE 335
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City | BATAVIA
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State | OH
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Zip | 45103-1978
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Country | US
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Telephone | 513-732-1660
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Fax | 513-732-1665
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESUS C HONTANOSAS
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Credential | MD
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Telephone | 513-732-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35043368OH
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License Number State | OH
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