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General NPI Number Information
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NPI Number | 1669475133
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Entity Type | Individual
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Provider Name | JAMES R RADEMACHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 09/16/2020
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Provider Practice Location Address
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Address Line | 180 S STANFIELD RD
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City | TROY
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State | OH
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Zip | 45373-0106
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Country | US
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Telephone | 937-335-9020
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Fax | 937-335-6684
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Provider Business Mailing Address
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Address Line | 4445 LAKE FOREST DR STE 600
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City | BLUE ASH
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State | OH
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Zip | 45242-3744
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Country | US
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Telephone | 513-515-6172
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Fax | 937-335-6684
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 26886
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35089288
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License Number State | OH
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