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General NPI Number Information
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NPI Number | 1043478852
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Entity Type | Organization
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Legal Business Name | BRIAN MIHOK, D.O.
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1989 MIAMISBURG CENTERVILLE RD SUITE 300
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City | DAYTON
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State | OH
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Zip | 45459-3859
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Country | US
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Telephone | 937-433-0454
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Fax |
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Provider Business Mailing Address
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Address Line | 2174 CHERRY OAK DR
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City | KETTERING
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State | OH
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Zip | 45440-1116
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN JEFFREY MIHOK
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Credential | D.O.
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Telephone | 937-830-0691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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