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NPI 1982906103

NPI 1982906103 : CHRIST HOSPITAL MEDICAL ASSOCIATES II, LLC : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1982906103
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIST HOSPITAL MEDICAL ASSOCIATES II, LLC 
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Dates
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    Enumeration Date     |    11/19/2010
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    Last Update Date     |    01/27/2025
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Provider Practice Location Address
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    Address Line         |    2139 AUBURN AVE 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45219-2906
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    Country              |    US
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    Telephone            |    513-351-9900
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    Fax                  |    513-366-4480
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Provider Business Mailing Address
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    Address Line         |    2139 AUBURN AVE 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45219-2989
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    Country              |    US
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    Telephone            |    513-351-9900
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    Fax                  |    513-366-4491
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Authorized Official
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    Title or Position    |    VP, CHIEF BUSINESS OFFICER
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    Name                 |     VICTOR  DIPILLA 
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    Credential           |    
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    Telephone            |    513-585-1295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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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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