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General NPI Number Information
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NPI Number | 1669213476
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Entity Type | Organization
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Legal Business Name | CITY OF CINCINNATI
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1702 GRAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45214-1502
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Country | US
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Telephone | 513-357-7382
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Fax | 513-357-7385
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Provider Business Mailing Address
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Address Line | 1702 GRAND AVE
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City | CINCINNATI
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State | OH
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Zip | 45214-1502
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Country | US
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Telephone | 513-357-7382
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Fax | 513-357-7385
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Authorized Official
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Title or Position | CEO
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Name | JOYCE TATE
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Credential |
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Telephone | 513-357-7361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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