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General NPI Number Information
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NPI Number | 1053604785
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Entity Type | Individual
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Provider Name | DENNIS EMURON M.B.CH.B
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Gender | Male
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Dates
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Enumeration Date | 05/27/2011
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 10500 MONTGOMERY RD
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-2246
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Fax |
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Provider Business Mailing Address
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Address Line | 4685 FOREST AVE
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City | CINCINNATI
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State | OH
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Zip | 45212-3397
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Country | US
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Telephone | 513-865-2246
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D77181
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.143973
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | P26490
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 90951
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License Number State | SC
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