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General NPI Number Information
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NPI Number | 1760943609
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Entity Type | Individual
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Provider Name | MONICA J SACCUCCI MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 379 DIXMYTH AVE # 6
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City | CINCINNATI
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State | OH
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Zip | 45220-2475
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Country | US
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Telephone | 513-246-7027
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Fax | 513-246-7560
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Provider Business Mailing Address
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Address Line | 379 DIXMYTH AVE # 6
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City | CINCINNATI
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State | OH
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Zip | 45220-2475
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Country | US
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Telephone | 513-246-7027
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Fax | 513-246-7560
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 35.150097
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35.150097
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License Number State | OH
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