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General NPI Number Information
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NPI Number | 1851740690
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Entity Type | Organization
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Legal Business Name | CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY, INC.
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Dates
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Enumeration Date | 06/11/2016
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Last Update Date | 06/11/2016
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Provider Practice Location Address
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Address Line | 3900 ROSE HILL AVE APT 802B
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City | CINCINNATI
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State | OH
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Zip | 45229-1493
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Country | US
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Telephone | 513-302-9302
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 ROSE HILL AVE APT 802B
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City | CINCINNATI
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State | OH
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Zip | 45229-1493
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Country | US
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Telephone | 513-302-9302
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Fax |
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Authorized Official
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Title or Position | CLINICAL NURSE
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Name | MS. NORMA JEAN KINSEY
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Credential | RN BSN
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Telephone | 513-302-9302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | RN242976
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License Number State | OH
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