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General NPI Number Information
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NPI Number | 1912408493
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Entity Type | Organization
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Legal Business Name | ELIZABETH MUELLER, DDS & ASSOCIATES
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 6396 THORNBERRY CT STE 720
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City | MASON
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State | OH
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Zip | 45040-7815
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Country | US
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Telephone | 513-791-3660
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Fax | 513-492-8095
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Provider Business Mailing Address
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Address Line | 9200 MONTGOMERY RD STE 4B
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City | CINCINNATI
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State | OH
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Zip | 45242-7789
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Country | US
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Telephone | 513-791-3660
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Fax | 513-791-3783
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH MUELLER
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Credential | DDS
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Telephone | 513-791-3660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 17260
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License Number State | OH
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