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General NPI Number Information
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NPI Number | 1689725962
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Entity Type | Individual
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Provider Name | ROBERT JOHN LIMARDI D.D.S.,M.S.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3174 MACK RD SUITE 1
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City | FAIRFIELD
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State | OH
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Zip | 45014-5370
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Country | US
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Telephone | 513-870-9672
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Fax | 513-870-0126
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Provider Business Mailing Address
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Address Line | 107 HETHERINGTON LN
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City | CINCINNATI
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State | OH
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Zip | 45246-3744
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Country | US
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Telephone | 513-771-0759
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Fax | 513-771-0758
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | OH18592
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License Number State | OH
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