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General NPI Number Information
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NPI Number | 1811033459
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Entity Type | Organization
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Legal Business Name | WESTSIDE CARDIOLOGY INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5570 DRY RIDGE RD
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City | CINCINNATI
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State | OH
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Zip | 45252-1856
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Country | US
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Telephone | 513-741-8963
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Fax |
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Provider Business Mailing Address
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Address Line | 5570 DRY RIDGE RD
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City | CINCINNATI
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State | OH
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Zip | 45252-1856
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Country | US
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Telephone | 513-741-8963
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ROBERT ZERHUSEN
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Credential | M.D.
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Telephone | 513-741-8963
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35.033871
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License Number State | OH
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