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General NPI Number Information
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NPI Number | 1053491530
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Entity Type | Individual
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Provider Name | JOSEPH H HOUDA MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 30 E APPLE ST STE 1480
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City | DAYTON
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State | OH
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Zip | 45409-2939
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Country | US
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Telephone | 937-208-3220
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Fax | 937-208-3633
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Provider Business Mailing Address
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Address Line | 3170 KETTERING BLVD BLDG B2ND
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City | MORAINE
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State | OH
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Zip | 45439-1924
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Country | US
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Telephone | 937-991-3188
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Fax | 937-223-9811
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35.097872
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD428819
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License Number State | PA
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