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General NPI Number Information
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NPI Number | 1649467119
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Entity Type | Organization
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Legal Business Name | MIDWEST PSYCHIATRIC CENTER, INC.
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 7760 WEST VOA PARK DR SUITE G
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City | WEST CHESTER
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State | OH
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Zip | 45069-3371
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Country | US
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Telephone | 513-217-5221
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Fax | 513-217-6221
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Provider Business Mailing Address
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Address Line | PO BOX 635924
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City | CINCINNATI
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State | OH
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Zip | 45263-5924
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Country | US
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Telephone | 513-421-3504
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Fax | 513-231-7055
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAKESHKUMAR M KANERIA
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Credential | M.D.
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Telephone | 513-217-5221
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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 | 35083440
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License Number State | OH
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