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General NPI Number Information
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NPI Number | 1811591936
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Entity Type | Organization
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Legal Business Name | ORTHOLIVE, INC.
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 3287 HEMLOCK RD
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City | EDGEWOOD
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State | KY
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Zip | 41017-3321
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Country | US
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Telephone | 513-479-9102
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Fax | 513-306-4004
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Provider Business Mailing Address
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Address Line | 1311 VINE ST
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City | CINCINNATI
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State | OH
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Zip | 45202-7118
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Country | US
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Telephone | 866-456-7846
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Fax | 513-306-4006
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Authorized Official
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Title or Position | CEO
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Name | RAYMOND MICHAEL GREIWE
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Credential | MD
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Telephone | 668-456-7846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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