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General NPI Number Information
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NPI Number | 1083179097
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Entity Type | Organization
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Legal Business Name | INTECARE, INC.
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 02/04/2019
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Provider Practice Location Address
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Address Line | 530 E DAYTON YELLOW SPRINGS RD
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City | FAIRBORN
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State | OH
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Zip | 45324-6432
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Country | US
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Telephone | 937-874-5766
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Fax | 937-874-5774
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Provider Business Mailing Address
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Address Line | 530 E DAYTON YELLOW SPRINGS RD
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City | FAIRBORN
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State | OH
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Zip | 45324-6432
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Country | US
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Telephone | 937-874-5766
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Fax | 937-874-5774
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID A ZAINEY
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Credential | MD
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Telephone | 937-874-5766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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