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General NPI Number Information
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NPI Number | 1659008282
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Entity Type | Organization
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Legal Business Name | MENISCUS OMEGA LLC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 558 LOWELL AVE #5
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City | CINCINNATI
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State | OH
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Zip | 45220
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Country | US
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Telephone | 513-883-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 975 ENRIGHT AVE UNIT 7045
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City | CINCINNATI
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State | OH
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Zip | 45205-7527
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Country | US
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Telephone | 513-883-3700
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JAMILA L WOODS
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Credential | FUNERAL DIRECTOR
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Telephone | 513-883-3700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 176P00000X
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Taxonomy Name | Funeral Director
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License Number |
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License Number State |
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