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Organization
WALDEN PONDS MEDICAL CARE LLC
Active
Organization
WALDEN PONDS MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNA M HELTON (OFFICE MANAGER)
(513) 893-1100
Entity
Organization
Contact information
Practice address
5964 GOLF CLUB LN, HAMILTON, OH 45011-8224
(513) 893-1100
(513) 893-1128
Mailing address
5964 GOLF CLUB LN, HAMILTON, OH 45011-8224
(513) 893-1100
(513) 893-1128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35081138A
OH
208000000X
Pediatrics Physician
35081138A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35081138A
STATE LICENSE
OH
Enumeration date
03/14/2008
Last updated
01/27/2010
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