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General NPI Number Information
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NPI Number | 1053600775
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Entity Type | Organization
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Legal Business Name | FIVE RIVERS HEALTH CENTERS
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2261 PHILADELPHIA DR
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City | DAYTON
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State | OH
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Zip | 45406
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Country | US
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Telephone | 937-276-4141
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Fax | 937-277-7249
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Provider Business Mailing Address
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Address Line | 721 MIAMI CHAPEL RD
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City | DAYTON
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State | OH
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Zip | 45417-4650
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Country | US
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Telephone | 937-281-6800
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. GINA MAKEBA MCFARLANE-EL
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Credential |
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Telephone | 937-281-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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