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General NPI Number Information
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NPI Number | 1962745083
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Entity Type | Organization
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Legal Business Name | MEDICAL HOUSECALLS LLC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 4850 SMITH RD STE 250
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City | CINCINNATI
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State | OH
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Zip | 45212-2796
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Country | US
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Telephone | 513-699-9090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32160 DEPT 107
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City | LOUISVILLE
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State | KY
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Zip | 40232-2160
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Country | US
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Telephone | 513-699-9090
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSHUA HOLZMAN
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Credential |
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Telephone | 513-699-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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