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General NPI Number Information
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NPI Number | 1861723280
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Entity Type | Organization
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Legal Business Name | MAIER PLASTIC SURGERY, INC.
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 3805 EDWARDS RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45209-1939
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Country | US
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Telephone | 859-384-2639
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Fax | 800-866-7879
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Provider Business Mailing Address
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Address Line | 3805 EDWARDS RD STE 100
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City | CINCINNATI
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State | OH
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Zip | 45209-1939
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Country | US
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Telephone | 859-384-2639
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Fax | 800-866-7879
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOEL PATRICK MAIER
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Credential | MD
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Telephone | 503-307-7215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35-094563
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License Number State | OH
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