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General NPI Number Information
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NPI Number | 1639259724
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Entity Type | Organization
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Legal Business Name | MARSHALL MCHENRY,M.D., LLC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 4871 PROSPERITY PL
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City | CINCINNATI
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State | OH
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Zip | 45238-4027
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Country | US
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Telephone | 513-251-9900
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Fax | 513-244-3999
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Provider Business Mailing Address
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Address Line | 4871 PROSPERITY PL
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City | CINCINNATI
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State | OH
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Zip | 45238-4027
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Country | US
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Telephone | 513-251-9900
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Fax | 513-244-3999
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Authorized Official
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Title or Position | OWNER
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Name | MARSHALL MCHENRY
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Credential | M.D.
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Telephone | 513-251-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35046952
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License Number State | OH
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