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General NPI Number Information
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NPI Number | 1073326880
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Entity Type | Organization
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Legal Business Name | YDT INVESTMENTS LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1911 N FAIRFIELD RD STE 130
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City | BEAVERCREEK
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State | OH
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Zip | 45432-2754
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Country | US
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Telephone | 937-702-9655
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 N FAIRFIELD RD STE 130
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City | BEAVERCREEK
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State | OH
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Zip | 45432-2754
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Country | US
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Telephone | 937-702-9655
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Fax |
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Authorized Official
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Title or Position | CLINIC OWNER
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Name | TINA DIGIORGIO
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Credential |
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Telephone | 937-603-7003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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