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General NPI Number Information
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NPI Number | 1699844704
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Entity Type | Individual
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Provider Name | MICHAEL CHOLERA DO
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 3860 RACE RD SUITE 204
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City | CINCINNATI
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State | OH
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Zip | 45211-4306
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Country | US
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Telephone | 877-845-7197
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Fax |
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Provider Business Mailing Address
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Address Line | 919 SQUIRE VALLEY DR
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City | VILLA HILLS
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State | KY
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Zip | 41017-1479
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Country | US
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Telephone | 513-254-5348
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34004374
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02229
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License Number State | KY
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