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General NPI Number Information
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NPI Number | 1912303793
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH PHYSICIANS CINCINNATI, LLC
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 3301 MERCY HEALTH BLVD SUITE 450
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City | CINCINNATI
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State | OH
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Zip | 45211-1105
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Country | US
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Telephone | 513-215-5000
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Fax | 513-981-4346
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Provider Business Mailing Address
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Address Line | 1701 MERCY HEALTH PL
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City | CINCINNATI
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State | OH
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Zip | 45237-6147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CMO, MEDICAL GROUP
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Name | ERIN R FRIES
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Credential |
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Telephone | 513-952-5045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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