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General NPI Number Information
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NPI Number | 1972916625
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Entity Type | Organization
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Legal Business Name | THE DEACONESS HEALTH ASSOCIATIONS FUND, INC.
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Dates
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Enumeration Date | 06/10/2014
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Last Update Date | 01/31/2019
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Provider Practice Location Address
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Address Line | 615 ELSINORE PL STE 900
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City | CINCINNATI
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State | OH
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Zip | 45202-1434
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Country | US
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Telephone | 513-559-2854
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Fax |
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Provider Business Mailing Address
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Address Line | 615 ELSINORE PL STE 900
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City | CINCINNATI
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State | OH
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Zip | 45202-1434
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Country | US
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Telephone | 513-559-2854
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HEIDEE FRIESTUHLER
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Credential |
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Telephone | 513-559-2854
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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 |
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License Number State |
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