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General NPI Number Information
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NPI Number | 1083503924
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Entity Type | Organization
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Legal Business Name | AMERICAS MEDICAL CENTER
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 304 6TH AVE
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City | DAYTON
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State | KY
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Zip | 41074-1116
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Country | US
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Telephone | 859-757-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 770 KIPP DR
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City | CINCINNATI
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State | OH
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Zip | 45255-4510
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Country | US
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Telephone | 513-802-6551
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CLINT CORNELL
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Credential |
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Telephone | 513-802-6551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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