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General NPI Number Information
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NPI Number | 1821267584
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Entity Type | Organization
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Legal Business Name | CINCINNATI PSYCHIATRIC SERVICES, INC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 10495 MONTGOMERY RD STE 28
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City | CINCINNATI
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State | OH
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Zip | 45242-4420
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Country | US
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Telephone | 513-984-2333
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Fax | 513-984-8333
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Provider Business Mailing Address
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Address Line | 10495 MONTGOMERY RD STE 28
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City | CINCINNATI
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State | OH
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Zip | 45242-4420
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Country | US
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Telephone | 513-984-2333
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Fax | 513-984-8333
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Authorized Official
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Title or Position | BILLER
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Name | PAT GILBERT
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Credential |
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Telephone | 513-984-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35074810
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License Number State | OH
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