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General NPI Number Information
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NPI Number | 1942451828
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Entity Type | Organization
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Legal Business Name | ORTHOCINCY
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 525 ALEXANDRIA PIKE SUITE 200
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City | SOUTHGATE
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State | KY
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Zip | 41071
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Country | US
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Telephone | 859-301-2663
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Fax | 859-301-0655
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Provider Business Mailing Address
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Address Line | 560 S LOOP RD
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City | EDGEWOOD
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State | KY
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Zip | 41017-3405
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Country | US
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Telephone | 859-301-2663
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Fax | 859-301-0655
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Authorized Official
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Title or Position | CEO
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Name | JOANN M. REIS
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Credential |
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Telephone | 859-817-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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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