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General NPI Number Information
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NPI Number | 1821854324
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Entity Type | Organization
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Legal Business Name | ECOMED FAMILY CARE LLC
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 7419 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-4305
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Country | US
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Telephone | 513-376-7166
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Fax |
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Provider Business Mailing Address
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Address Line | 7419 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-4305
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Country | US
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Telephone | 513-376-7166
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CAROLETTA JAMES
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Credential |
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Telephone | 513-376-7166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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