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General NPI Number Information
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NPI Number | 1972559227
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Entity Type | Individual
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Provider Name | JAMES E. BREIDENSTEIN D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 10450 NEW HAVEN RD
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City | HARRISON
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State | OH
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Zip | 45030-2780
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Country | US
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Telephone | 513-921-4227
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Fax | 513-367-8031
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Provider Business Mailing Address
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Address Line | 672 NEEB RD
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City | CINCINNATI
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State | OH
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Zip | 45233-4619
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Country | US
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Telephone | 513-921-4227
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Fax | 513-347-5050
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34005707
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License Number State | OH
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