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General NPI Number Information
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NPI Number | 1699960989
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Entity Type | Organization
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Legal Business Name | BETHESDA HEALTHCARE INC
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 100 ARROW SPRINGS BLVD
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City | LEBANON
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State | OH
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Zip | 45036-9864
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Country | US
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Telephone | 513-282-7075
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Fax | 513-282-7076
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Provider Business Mailing Address
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Address Line | PO BOX 630185
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City | CINCINNATI
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State | OH
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Zip | 45263-0185
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Country | US
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Telephone | 513-891-7230
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Fax | 513-891-7354
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Authorized Official
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Title or Position | VICE PRESIDENT BETHESDA HEALTHCARE
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Name | MS. PAMELA SHANNON
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Credential |
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Telephone | 513-977-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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