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General NPI Number Information
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NPI Number | 1699943621
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Entity Type | Organization
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Legal Business Name | CHOLESTEROL TREATMENT CENTER, INC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 5355 MEDPACE WAY
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City | CINCINNATI
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State | OH
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Zip | 45227-1543
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Country | US
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Telephone | 513-579-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 5355 MEDPACE WAY
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City | CINCINNATI
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State | OH
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Zip | 45227-1543
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Country | US
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Telephone | 513-579-8811
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EVAN STEIN
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Credential | MD
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Telephone | 513-579-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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