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NPI Code Detail

MEDICARE: DR. HOLLY E DEPINET MD

MEDICARE:  DR. HOLLY E DEPINET  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35.087882OH
22080P0204XPediatric Emergency Medicine (Pediatrics) Physician35.087882OH

General Provider Information

NPI Number : 1447291166
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLY E DEPINET MD
Provider Business Mailing Address
First Line : 3333 BURNET AVE
Second Line : ML 2008
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-7966
Fax Number : 513-636-7967
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line : ML 2008
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-7966
Fax Number : 513-636-7967
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 07/13/2015

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Directions to “ DR. HOLLY E DEPINET MD” Practice Location

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