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General NPI Number Information
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NPI Number | 1992854913
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Entity Type | Individual
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Provider Name | WILLIAM F VONDERHAAR PHD
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Gender | Male
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7584 CINCINNATI COLUMBUS ROAD #211
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City | CINCINNATI
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State | OH
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Zip | 45241
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Country | US
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Telephone | 513-779-6018
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Fax |
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Provider Business Mailing Address
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Address Line | 5047 PARK RIDGE COURT
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City | WEST CHESTER
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State | OH
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Zip | 45069
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Country | US
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Telephone | 513-860-1970
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Fax | 513-860-4023
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3479
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License Number State | OH
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