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General NPI Number Information
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NPI Number | 1063447167
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Entity Type | Organization
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Legal Business Name | FORT HAMILTON HOSPITAL
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 630 EATON AVENUE
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City | HAMILTON
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State | OH
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Zip | 45013-2767
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Country | US
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Telephone | 513-585-8069
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 LEITER RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-3660
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Country | US
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Telephone | 937-914-7601
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Fax | 937-522-7685
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | DANN S HOTELLING
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Credential |
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Telephone | 937-762-1644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 1117
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License Number State | OH
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