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General NPI Number Information
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NPI Number | 1760431159
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Entity Type | Individual
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Provider Name | HAROLD THOMAS PRETORIUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 4743 CORNELL RD
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City | CINCINNATI
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State | OH
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Zip | 45241-2432
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Country | US
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Telephone | 513-561-3797
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Fax | 513-561-4043
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Provider Business Mailing Address
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Address Line | 4743 CORNELL RD
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City | CINCINNATI
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State | OH
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Zip | 45241-2432
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Country | US
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Telephone | 513-561-3797
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Fax | 513-561-4043
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 31919
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35 . 056690
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 35 . 056690
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 14225100-1205
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License Number State | UT
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