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General NPI Number Information
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NPI Number | 1831423334
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Entity Type | Organization
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Legal Business Name | CAREBRIDGE PALLIATIVE SERVICES INC.
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 7625 CAMARGO RD SUITE 200
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City | CINCINNATI
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State | OH
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Zip | 45243-3107
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Country | US
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Telephone | 513-528-8150
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Fax | 513-528-8151
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Provider Business Mailing Address
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Address Line | 7625 CAMARGO RD SUITE 200
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City | CINCINNATI
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State | OH
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Zip | 45243-3107
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Country | US
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Telephone | 513-528-8150
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Fax | 513-528-8151
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH KILLIAN
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Credential |
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Telephone | 513-528-8150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
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License Number | 1852107
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License Number State | OH
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