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General NPI Number Information
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NPI Number | 1871090316
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH MEDICAL CONSULTANTS LLC
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Dates
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Enumeration Date | 04/11/2018
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 4487 VILLAGE CLUB DRIVE
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City | POWELL
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State | OH
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Zip | 43065-7156
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Country | US
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Telephone | 614-203-7252
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Fax |
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Provider Business Mailing Address
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Address Line | 4487 VILLAGE CLUB DRIVE
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City | POWELL
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State | OH
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Zip | 43065-7156
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Country | US
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Telephone | 614-203-7252
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RONALD AMBROSIA
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Credential | MD
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Telephone | 614-203-7252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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