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General NPI Number Information
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NPI Number | 1063226959
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Entity Type | Organization
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Legal Business Name | DAYTON ALLERGY & ASTHMA CARE, LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5250 FAR HILLS AVE STE 260
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City | DAYTON
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State | OH
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Zip | 45429-2357
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Country | US
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Telephone | 937-293-4053
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 GARDEN SPRINGS CT
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City | DAYTON
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State | OH
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Zip | 45429-2070
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Country | US
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Telephone | 937-902-6798
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROUA AZMEH
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Credential | MD
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Telephone | 937-293-4053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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